eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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vol. 4

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.

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

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