Dependence on a respiratory ventilator due to an atrial septal defect

2000 ◽  
Vol 10 (2) ◽  
pp. 150-152 ◽  
Author(s):  
Reinald Motz ◽  
Gerhard Grässl ◽  
Rudolf Trawöger
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Cardiac Lesion ◽  
Surgical Closure ◽  
Arterial Duct

AbstractAn atrial septal defect is commonly thought of as a benign cardiac lesion especially in infancy. The haemodynamic consequences for the lungs, nonetheless, can be comparable to that produced by patency of the arterial duct. In a preterm boy, this lesion led to the development of broncho-pulmonary dysplasia, and dependence on a respiratory ventilator. He could be extubated shortly after surgical closure of the septal defect.

Long-term cost-effectiveness of transcatheter versus surgical closure of secundum atrial septal defect in adults

2014 ◽  
Vol 172 (1) ◽  
pp. 109-114 ◽  
Author(s):  
Darren Mylotte ◽  
Stéphane P. Quenneville ◽  
Mark A. Kotowycz ◽  
Xuanqian Xie ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Secundum Atrial Septal Defect ◽  
Surgical Closure

scholarly journals Early and six-month assessment of bi-ventricular functions following surgical closure of atrial septal defect

2014 ◽  
Vol 66 (6) ◽  
pp. 617-621 ◽  
Author(s):  
Rajesh Vijayvergiya ◽  
Jiten Singh ◽  
Sandeep S. Rana ◽  
Ranjan Shetty ◽  
Bhagwant R. Mittal
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Closure ◽  
Ventricular Functions

Abstract 2130: Long-term Outcomes of Adult Atrial Septal Defect With Severe Pulmonary Hypertension After Surgical Closure

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Jeong-Hoon Kim ◽  
Duk-Hyun Kang ◽  
Jong-Young Lee ◽  
Jong-Min Song ◽  
Tae-Jin Yun ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Elderly Patients ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Survival Rates ◽  
Severe Pulmonary Hypertension ◽  
Term Survival ◽  
Surgical Closure

The benefits of surgical closure has been unclear in adult atrial septal defect (ASD) with severe pulmonary hypertension (PHT), and we tried to evaluate improvement of PHT and long-term survival after surgical closure compared to medical follow-up. Methods: From 1996 to 2006, we included a total of 71 adult ASD patients (age; 43±15 years) with severe PHT documented by echocardiography. The inclusion criteria were defined as ASD diameter > 15 mm, enlarged right ventricle, and the baseline peak velocity of tricuspid regurgitation (TR) ≥ 4.0 m/sec. We excluded 5 patients with Eisenmenger syndrome documented by cardiac catheterization. Surgical closure was performed on 55 patients (OP group) and the remaining 16 patients were followed up medically (MED group). The improvement of PHT was defined as TR velocity ≤ 3.5 m/sec on follow-up echo. Results: Baseline characteristics and clinical results were compared between the two groups in table . There were no significant differences in terms of gender, ASD diameter, cardiac rhythm, and TR velocity, but the MED group was significantly older. During follow-up of 46±33 months, there were 5 deaths in the MED group and no operative or late death in the OP group, and the 5-year actuarial survival rate of the OP group was significantly higher than the MED group (58±15%, p<0.05). On subgroup analysis according to age, the OP group showed significantly better survival rates than the MED group (p<0.05) in elderly patients (age > 50). In the OP group, TR velocity was significantly decreased from 4.5±0.4 to 3.0±0.7 m/sec on follow-up echo, and improvement of PHT was observed in 47 (85%) patients. On multivariate analysis, female gender and lower baseline TR velocity were the significant independent predictors of improved PHT after surgery. Conclusions: In adult ASD with severe PHT, surgical closure can be safely performed and improve PHT effectively. Especially in elderly patients, ASD closure is significantly related with the better survival rates.

Clinical and hemodynamic observations after surgical closure of large atrial septal defect complicated by heart failure

1969 ◽  
Vol 23 (6) ◽  
pp. 810-817 ◽  
Author(s):  
Gerasim Tikoff ◽  
Thomas B. Keith ◽  
Russell M. Nelson ◽  
Hiroshi Kuida
Keyword(s):  
Heart Failure ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Closure

scholarly journals Inappropriate shocks from a transvenous implantable defibrillator caused by atrial fibrillation and a missed atrial septal defect in a patient with a modified Bentall procedure

2021 ◽  
Author(s):  
Anna Kostopoulou ◽  
Epameinontas Fountas ◽  
Olga Karapanagiotou ◽  
Stamatis Kyrzopoulos
Keyword(s):  
Atrial Fibrillation ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Implantable Defibrillator ◽  
Surgical Closure ◽  
Inappropriate Shocks ◽  
Bentall Procedure ◽  
Complication Risk ◽  
Amplatzer Device

Abstract Background Inappropriate shocks have been reported in approximately 1/3 of patients with implantable cardiac defibrillators (ICDs). We report an unusual case of inappropriate ICD shocks due to atrial fibrillation (AF) caused by a missed atrial septal defect (ASD) in a patient with a modified Bentall procedure. Case summary A 67-year-old Caucasian male, with an ICD and a history of a modified Bentall procedure 24 years ago, reported to our outpatient clinic with recurrent inappropriate ICD shocks due to episodes of fast AF. The transthoracic echocardiographic exam revealed 2 large aneurysms at the ostia of the coronary arteries. We performed further evaluation with transesophageal echocardiogram (TOE) and computed tomography (CT) angiography. The aneurysms measured on CT were 3.14*2.29 cm on the right ostium and 1.9*0.99 cm on the left. A large secundum-type atrial septal defect (ASD) of 1.5 cm was revealed that was missed in all previous echocardiographic studies. The therapeutic options of surgical closure of the ASD and repair of the aneurysms or a more conservative approach with percutaneous closure of the ASD and closer follow-up were discussed with the patient. The patient declined the surgical option due to high complication risk, and closure of the ASD with an Amplatzer device was performed 3 months later. A 3 -year Follow-up was uneventful. Conclusion It is of major importance to comprehensively and thoroughly assess patients before and after a surgical intervention to not miss other treatable conditions preoperatively and complications in the postoperative period.

Outcomes following surgical closure of secundum atrial septal defect in children < 15 kg – A dual center experience

2018 ◽  
Vol 10 (3-4) ◽  
pp. 291-292
Author(s):  
C.-M. Pilard ◽  
Z. Jalal ◽  
O. Villemain ◽  
F. Roubertie ◽  
D. Bonnet ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Secundum Atrial Septal Defect ◽  
Surgical Closure

Hoarseness after pulmonary arterial stenting and occlusion of the arterial duct

2003 ◽  
Vol 13 (3) ◽  
pp. 302-304 ◽  
Author(s):  
Mervat Assaqqat ◽  
Ghassan Siblini ◽  
Fadel Al Fadley
Keyword(s):  
Pulmonary Artery ◽  
Atrial Septal Defect ◽  
Recurrent Laryngeal Nerve ◽  
Septal Defect ◽  
Left Pulmonary Artery ◽  
Laryngeal Nerve ◽  
Arterial Stenosis ◽  
Arterial Duct ◽  
Cardiac Lesions ◽  
Pulmonary Arterial

We report a 12-year-old girl who had multiple congenital cardiac lesions, specifically an arterial duct, left pulmonary arterial stenosis, an atrial septal defect in the oval fossa, and mild Ebstein's malformation of the tricuspid valve. Therapeutic transcatheter intervention was performed to stent the left pulmonary artery, occlude the arterial duct with a coil, and place a device to close the atrial septal defect. Subsequent to the catheterization, she complained of hoarseness, which was shown to be due to entrapment of the left recurrent laryngeal nerve between the coil used to close the arterial duct and the stent placed in the left pulmonary artery. Laryngoscopy confirmed paralysis of the recurrent laryngeal nerve.

Neurodevelopment and Behavior after Transcatheter versus Surgical Closure of Secundum Type Atrial Septal Defect

2015 ◽  
Vol 166 (1) ◽  
pp. 31-38.e1 ◽  
Author(s):  
Iemke Sarrechia ◽  
Daniël De Wolf ◽  
Marijke Miatton ◽  
Katrien François ◽  
Marc Gewillig ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Closure ◽  
And Behavior
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