@Article{Fiszer2008,
journal="Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej",
issn="1734-9338",
volume="4",
number="4",
year="2008",
title="Original paperExperience in percutaneous atrial septal defects closure after previous cardiac surgery",
abstract="  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.",
author="Fiszer, Roland
and Szkutnik, Małgorzata
and Kusa, Jacek
and Białkowski, Jacek",
pages="129--132",
url="https://www.termedia.pl/Original-paper-Experience-in-percutaneous-atrial-septal-defects-closure-after-previous-cardiac-surgery,35,11457,1,1.html"
}