Percutaneous device closure of atrial septal defect and patent foramen ovale

Structural heart disease interventions look set to form an increasing proportion of the interventional cardiologist’s workload. Device closure of atrial septal connections, both patent foramen ovale (PFO) and atrial septal defect (ASD), are the most commonly performed adult structural interventional procedure in the United Kingdom, with 793 PFO and 573 ASD closure procedures performed in adults in 2007. Device closure of ASDs and PFOs are elegant procedures which combine technical and imaging skills with a detailed understanding of cardiac anatomy. More importantly, they also provide tangible clinical benefits to patients.

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Percutaneous device closure of atrial septal defect and patent foramen ovale

Oxford Textbook of Interventional Cardiology ◽

10.1093/med/9780198754152.003.0043 ◽

2018 ◽

pp. 641-656

Author(s):

Patrick A. Calvert ◽

Bushra S. Rana ◽

Roland Hilling-Smith ◽

David Hildick-Smith

Keyword(s):

Atrial Septal Defect ◽

Patent Foramen Ovale ◽

Septal Defect ◽

Structural Heart Disease ◽

Foramen Ovale ◽

Device Closure ◽

Percutaneous Device ◽

Clinical Benefits ◽

Asd Closure ◽

The Uk

Structural heart disease interventions look set to form an increasing proportion of the interventional cardiologist’s workload. Device closure of atrial septal connections, both patent foramen ovale (PFO) and atrial septal defect (ASD), are the most commonly performed adult structural interventional procedures in the UK, with 428 PFO and 545 ASD closure procedures performed in adults in 2014. Device closure of ASDs and PFOs are elegant procedures which combine technical and imaging skills with a detailed understanding of cardiac anatomy. More importantly, they also provide tangible clinical benefits to patients.

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Intracardiac Echocardiography during Atrial Septal Defect and Patent Foramen Ovale Device Closure in Pediatric and Adolescent Patients

Journal of the American Society of Echocardiography ◽

10.1016/j.echo.2014.05.017 ◽

2014 ◽

Vol 27 (9) ◽

pp. 984-990 ◽

Cited By ~ 17

Author(s):

Beth A. Medford ◽

Nathaniel W. Taggart ◽

Allison K. Cabalka ◽

Frank Cetta ◽

Guy S. Reeder ◽

...

Keyword(s):

Atrial Septal Defect ◽

Patent Foramen Ovale ◽

Septal Defect ◽

Intracardiac Echocardiography ◽

Foramen Ovale ◽

Device Closure ◽

Adolescent Patients

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Penanganan Perioperatif Pasien Penyakit Jantung Kongenital Dewasa dengan ASD, Suspek Hipertensi Pulmonal, LV Smallish

JAI (Jurnal Anestesiologi Indonesia) ◽

10.14710/jai.v9i2.19826 ◽

2017 ◽

Vol 9 (2) ◽

pp. 71

Author(s):

Wisnhu Wardhana ◽

Cindy Elfira Boom

Keyword(s):

Intensive Care Unit ◽

Congenital Heart Disease ◽

Intensive Care ◽

Heart Disease ◽

Atrial Septal Defect ◽

Patent Foramen Ovale ◽

Congenital Heart ◽

Septal Defect ◽

Foramen Ovale ◽

Asd Closure

Penyakit jantung kongenital dewasa / grown-up congenital heart disease (GUCH) yang menempati urutan teratas dengan insidensi 10% dari jantung kongenital asianotik pada dewasa adalah atrial septal defect (ASD). Terapi optimal ASD masih kontroversial. Operasi direkomendasikan pada pasien usia pertengahan dan usia tua dengan pintasan kiri ke kanan yang bermakna. Komorbid yang paling sering didapatkan pada defek kongenital pada usia dewasa muda adalah gangguan hemodinamik, hipertensi pulmonal, aritmia, penyakit kardiovaskular dan penyakit resprasi. Dilaporkan pasien perempuan usia 29 tahun dengan atrial septal defect(ASD) dengan hipertensi pulmonaldan Left Ventricle (LV) Smallishyang dilakukan operasi penututupan defek atrial atau ASD closure. Persiapan preoperasi mencakup anamnesa, pemeriksaan fisik dan pemeriksaan penunjang.Perubahan patologi utama adalah peningkatan resistensi vaskuler paru dan perubahan sekunder terhadap peningkatan aliran darah dari pintasan kiri ke kanan. Masalah yang dihadapi pada pasien perioperasi ini adalah ukuran jantung kiri baik atrium maupun ventrikel kiri yang kecil memberikan dampak hemodinamik tidak stabil berupa aritmia dan pulmonal hipertensi saat dilakukan penutupan defek. Pemberianobat topangan jantung (nitroglyserin, milrinone, norepinephrine, adrenaline) dan pembuatan Patent Foramen Ovale (PFO) memberikan hasil hemodinamik yang stabil selama operasi dan di ruang perawatan Intensive Care Unit (ICU).

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