scholarly journals Atrial septal defect closure in a young patient presenting with recurrent cryptogenic stroke: A case report

2020 ◽  
Author(s):  
Rakan Nazer
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Cryptogenic Stroke ◽  
Young Female ◽  
Stroke Recurrence ◽  
Atrial Septal Defect Closure ◽  
Surgical Closure ◽  
Atrial Shunt ◽  
Prompt Action

Abstract Background: Having an inter-atrial shunt in the form of a patent foramen ovale or atrial septal defect increases the risk of developing cryptogenic stroke. Prompt action is required in order to prevent stroke recurrence. The source of embolization may not be clear on stroke workup.Case presentation: A young female acutely presented with recurrent embolizations to the eye and brain. She was found to have an atrial septal defect. No clear intra-cardiac source of embolization was detected on workup including trans-esophageal echocardiography. Given the options between surgical versus device closure, the attending team opted for the surgical closure which yielded on direct left heart inspection small organized clots adherent to the tips of the mitral valve leaflets. Conclusions: The case report illustrates the potential advantages of the direct surgical closure in detecting and extracting the embolization source in patients who present with recurrent cryptogenic stroke.

scholarly journals Atrial septal defect closure in a young patient presenting with recurrent cryptogenic stroke: A case report

2020 ◽  
Author(s):  
Rakan Nazer
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Cryptogenic Stroke ◽  
Young Female ◽  
Stroke Recurrence ◽  
Atrial Septal Defect Closure ◽  
Surgical Closure ◽  
Atrial Shunt ◽  
Prompt Action

Abstract Background : Having an inter-atrial shunt in the form of a patent foramen ovale or atrial septal defect increases the risk of developing a cryptogenic stroke. Prompt action is required in order to prevent stroke recurrence. The source of embolization may not be clear on stroke workup. Case presentation : A young female acutely presented with recurrent embolizations to the eye and brain. She was found to have an atrial septal defect. No clear intra-cardiac source of embolization was detected on workup including trans-esophageal echocardiography. Given the options between surgical versus device closure, the attending team opted for the surgical closure which yielded on direct left heart inspection small organized clots adherent to the tips of the mitral valve leaflets. Conclusions : The case report illustrates the potential advantages of the direct surgical closure in detecting and extracting the embolization source in patients who present with recurrent cryptogenic stroke.

scholarly journals Typical signs of secundum atrial septal defect in a young female

2015 ◽  
Vol 14 (2) ◽  
pp. 203-205
Author(s):  
Md Abdul Mahid Khan ◽  
Hasina Banoo ◽  
Sheikh Salahuddin Ahmed ◽  
Abdullah Shahriar ◽  
AHM Nasiruzzaman
Keyword(s):  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Medical Science ◽  
Pulmonary Arteries ◽  
Young Female ◽  
Secundum Atrial Septal Defect ◽  
Surgical Closure ◽  
Equine Pericardium ◽  
Chest X Ray

We report the case of a 25-year-female presented with dyspnea & chest pain on exertion. The ECG showed signs of right ventricular overload. The chest X-ray showed an enlargement of central pulmonary arteries, pulmonary plethora and a small aortic knuckle. Atrial septal defect (ASD) was suspected and transthoracic echocardiography (TTE) subsequently confirmed the presence of a large ostium secundum ASD. A surgical closure with an equine pericardium patch was performed. Two months after the surgical repair, the ECG and TTE showed the regression of signs of right ventricular overload.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.203-205

Geography or pathology? Regional variation in atrial septal defect closure rates and techniques

2011 ◽  
Vol 21 (5) ◽  
pp. 577-584 ◽  
Author(s):  
Wendy L. Walker ◽  
Tara Karamlou ◽  
Brian S. Diggs ◽  
Eric I. Ehieli ◽  
Kirk A. Caddell ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Patent Foramen Ovale ◽  
Septal Defect ◽  
Practice Patterns ◽  
The United States ◽  
Foramen Ovale ◽  
Atrial Septal Defect Closure ◽  
Closure Rate ◽  
Surgical Closure ◽  
Hospital Referral

AbstractBackgroundSince the introduction of percutaneous closure in the United States, rates of secundum atrial septal defect and patent foramen ovale closures have increased substantially. Whether or not closure rates are uniform or vary due to differences in regional practice patterns is unknown. We sought to investigate this by comparing regional rates of closure across Florida.MethodsWe identified all atrial septal defect closures from 2001 to 2006 in the Florida State Inpatient Database. Using small area analysis, zip codes were assigned to Hospital Referral Regions based on where patients were most likely to go for closure. We obtained population-normalised rates of overall, percutaneous, and surgical closure.ResultsOf 1830 atrial septal defect and patent foramen ovale closures from 2001 to 2006, 751 were surgical and 1004 were percutaneous. The statewide closure rate was 1.91 per 100,000 people per year; regional rates varied 3.8-fold from 0.78 to 2.94 per 100,000 people per year. Percutaneous rates varied sevenfold from 0.25 to 1.75 per 100,000 people per year, while surgical rates varied 2.71-fold from 0.53 to 1.44 per 100,000 people per year.ConclusionsDespite a consistent prevalence of atrial septal defects, and patent foramens ovale, rates of repair vary across regions, suggesting that closure is driven by provider practice patterns rather than patient pathology. Efforts should be directed towards increasing consensus regarding the appropriate, evidence-based indications for closure so as to avoid the costs and potential negative sequelae of over- or undertreatment.

Surgical perspective of percutaneous device closure of atrial septal defect

2018 ◽  
Vol 26 (5) ◽  
pp. 343-346
Author(s):  
Shyam Kumar Singh Thingnam ◽  
Sachin Mahajan ◽  
Vikas Kumar
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Intervention ◽  
Device Closure ◽  
Atrial Septal Defect Closure ◽  
Surgical Closure ◽  
Risk Of Death ◽  
Percutaneous Device ◽  
Device Embolization ◽  
Percutaneous Device Closure

Background Percutaneous device closure of an ostium secundum atrial septal defect is associated with excellent outcomes and cosmetic results but at the cost of occasional serious and sometimes fatal complications as well as lifelong follow-up. Surgical intervention is required in cases of device-related complications, which carries a slightly higher risk compared to primary closure of an atrial septal defect. We present a surgical perspective of device closure of atrial septal defect. Methods Our database was searched over 4 years for complications related to percutaneous device closure of atrial septal defect, which required surgical retrieval of the device and closure of the defect. We identified 14 cases that required surgical intervention. Results The median age of the 14 patients was 18 years (range 4–58 years). The size of the defect ranged from 15 to 40 mm (median 30 mm). Device embolization into any part of the cardiovascular system ( n = 8) was the most common complication, followed by malalignment of the device ( n = 5). One patient had left atrial appendage perforation causing pericardial effusion and cardiac tamponade, and underwent surgical repair. The other 13 patients underwent removal of the device and atrial septal defect closure. One patient developed severe mitral regurgitation requiring mitral valve replacement. There was no mortality. Conclusion Although the incidence of device-related complications may be small, they carry a high risk of death or long-term morbidity, even with a small atrial septal defect, unlike primary surgical closure of isolated atrial septal defect.

Sign in / Sign up

Export Citation Format

Share Document