eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2008
vol. 4
 
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abstract:

Original paper
Experience in percutaneous atrial septal defects closure after previous cardiac surgery

Roland Fiszer
,
Małgorzata Szkutnik
,
Jacek Kusa
,
Jacek Białkowski

Post Kardiol Interw 2008; 4, 4 (14): 129-132
Online publish date: 2008/12/01
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Introduction: Atrial septal defect (ASD) makes up 6-8% of congenital heart defects. Results of surgical correction are good with low mortality, but 1-1.5% of patients have residual shunt requiring intervention.
Material and methods: In years 1996-2008 we performed 21 percutaneous residual ASD closures after cardiac surgery. First group – 7 patients after surgical ASD closures; second group – 14 patients after cardiac surgery other than ASD closure with residual IAS shunt.
Results: In the first group 6 ASO devices 8-24 mm and in one patient Amplatzer Cribriform 25 mm were used. In the second group as primary surgery were tetralogy of Fallot and correction of right ventricular outflow tract obstruction – 6 patients, Fontan fenestration – 4 patients. One patient – with Ebstein anomaly after cavo-pulmonary shunt, ventricular septal defect (VSD), and transposition of great arteries (TGA) correction and CABG procedure. In 12 of 14 patients 5-30 mm Amplatzer Septal Occluder (ASO), in one case Star-Flex 33 mm and IMWCE-5-PDA-3 coil were used. Patients with right-left shunt presented a significant (77 to 90%) rise in arterial blood saturation directly after the procedure.
Conclusions: Percutaneous residual interatrial septum (IAS) shunt closure in patients after previous surgical ASD correction or other cardiac surgery procedures is not difficult technically and the results are satisfactory.
keywords:

atrial septal defect, percutaneous interventional procedures, post-surgical atrial septal defect

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