Prediction of hemodynamics after atrial septal defect closure using a framework of circulatory equilibrium in dogs

We developed a framework to predict the impact of atrial septal defect (ASD) closure on hemodynamics by incorporating ASD shunt flow into the framework of circulatory equilibrium. The proposed framework accurately predicted hemodynamics after ASD closure. Patient-specific prediction of hemodynamics may be useful for safety management of ASD closure.

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The Impact of Transcatheter Atrial Septal Defect Closure in the Older Population

JACC Cardiovascular Interventions ◽

10.1016/j.jcin.2009.12.011 ◽

2010 ◽

Vol 3 (3) ◽

pp. 276-281 ◽

Cited By ~ 38

Author(s):

Arif Anis Khan ◽

Ju-Le Tan ◽

W. Li ◽

Kostas Dimopoulos ◽

Mark S. Spence ◽

...

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Defect Closure ◽

Older Population ◽

Atrial Septal Defect Closure ◽

The Impact

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Transareolar Video-Assisted Approach to the Atrial Septal Defect and Tricuspid Valve

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000368 ◽

2017 ◽

Vol 12 (3) ◽

pp. 217-220

Author(s):

Tadashi Kitamura ◽

Shinzo Torii ◽

Tetsuya Horai ◽

Koichi Sughimoto ◽

Kensuke Kobayashi ◽

...

Keyword(s):

Minimally Invasive ◽

Atrial Septal Defect ◽

Septal Defect ◽

Defect Closure ◽

Atrial Septal Defect Closure ◽

Aortic Cannulation ◽

Tricuspid Annuloplasty ◽

Endoscopic Assistance ◽

Asd Closure ◽

Transareolar Approach

Minimally invasive atrial septal defect closure and tricuspid annuloplasty in female patients are normally performed through a right submammary anterior minithoracotomy approach. However, when the aortic root is located higher, the direction of aortic cannulation becomes not ideal through the submammary incision. In such cases, transareolar approach is useful. Through this approach, aortic cannulation and tricuspid operation can be performed with endoscopic assistance, and ASD closure can be performed under direct vision.

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Atrial septal defect closure in adulthood is associated with normal survival in the mid to longer term

Heart ◽

10.1136/heartjnl-2018-314380 ◽

2019 ◽

Vol 105 (13) ◽

pp. 1014-1019 ◽

Cited By ~ 8

Author(s):

Margarita Brida ◽

Gerhard-Paul Diller ◽

Aleksander Kempny ◽

Maria Drakopoulou ◽

Darryl Shore ◽

...

Keyword(s):

General Population ◽

Atrial Septal Defect ◽

Septal Defect ◽

Atrial Septal Defect Closure ◽

Term Survival ◽

Mortality And Morbidity ◽

Tertiary Centre ◽

Survival Difference ◽

Asd Closure ◽

The Impact

ObjectiveThe prognostic benefit of atrial septal defect (ASD) closure in adulthood, particularly in advanced age, remains uncertain. The aim of our study was to examine the impact of ASD closure in a contemporary adult cohort on mid to longer term survival as compared with expected survival in the general population.MethodsWe study herewith all consecutive patients (≥16 years of age) who underwent ASD closure, catheter or surgical, at our tertiary centre between 2001 and 2012. Furthermore, we compare survival of our ASD closure cohort with expected survival in age and gender-matched general population and standardised mortality ratios (SMR) were calculated.ResultsA total of 608 patients (mean age 45.4±16.7 years) underwent ASD closure (catheter 433(71.2%), surgical 175(28.8%)). There was no 30-day mortality and periprocedural complications were low (n=40, 6.6%). During a median follow-up of 6.7 (IQR 4.2–9.3) years 16 (2.6%) patients died; survival was similar to the general population (p=0.80) including patients >40 or >60 years of age at ASD closure (p=0.58 and p=0.64, respectively). There was no survival difference between gender (male: SMR 0.93; 95% CI 0.52 to 1.64, p=0.76; female: SMR 0.99; 95% CI 0.58 to 1.66, p=0.95) or mode of closure compared with general population (catheter: SMR 1.03; 95% CI 0.68 to 1.55, p=0.89; surgical: SMR 0.65; 95% CI 0.22 to 1.88, p=0.38).ConclusionPerioperative mortality and morbidity in a large contemporary adult cohort undergoing ASD closure, catheter or surgical, is extremely low. Mid to longer term survival is excellent irrespective of age, gender and mode of closure, and similar to matched general population.

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