scholarly journals Long-term Results of Cardiac Surgery Atrial Septal Defect and Tetralogy of Fallot

1962 ◽  
Vol 26 (4) ◽  
pp. 340-345
Author(s):  
MASAHIRO SAEGUSA
Keyword(s):  
Cardiac Surgery ◽  
Atrial Septal Defect ◽  
Tetralogy Of Fallot ◽  
Septal Defect ◽  
Long Term Results

Repair of tetralogy of Fallot associated with atrioventricular septal defect

1998 ◽  
Vol 8 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Tomás̆ Tláskal ◽  
Bohumil Huc̆ín ◽  
Martin Kostelka ◽  
Václav Chaloupecký ◽  
Jan Marek ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Septal Defect ◽  
Pulmonary Stenosis ◽  
Pulmonary Arteries ◽  
Pulmonary Regurgitation ◽  
Atrioventricular Septal Defect ◽  
Arterial Stenosis ◽  
Long Term Results

AbstractTetralogy of Fallot, when associated with atrioventricular septal defect permitting shunting at ventricular level, represents a complex cyanotic congenital malformation. Experience with surgical repair is limited, and results vary considerably. Between 1984 and 1996, we repaired 14 consecutive patients with this combination seen in our center. Their ages ranged from 8 months to 21 years (median 7.4 years). Six (42.9%) had Down's syndrome. In eight patients the correct diagnosis was made using echocardiogra phy alone. In the remaining six patients, who had previously-constructed arterial shunts and/or suspected pulmonary arterial stenosis, catheterization and angiocardiography were also performed. The repair consisted of double patch closure of the septal defect, reconstruction of two atrioventricular orifices, and relief of pulmonary stenosis at all levels. In five patients with a hypoplastic pulmonary trunk, a monocusp transannular patch (four patients) or an allograft (one patient) was used for restroration of continuity from the right ventricle to the pulmonary arteries. Patch enlargement of one or both pulmonary arteries was necessary in five patients. One patient (7.1%) died early, and another late. The twelve surviving (85.8%) patients have been followed for 1.2–12.5 years after surgery (median 4.9 years, mean 5.9 ± 3.9 years). During the follow-up, reoperation was necessary for repair of residual ventricular septal defect and pulmonary regurgitation in two patients, and closure of an atrial septal defect and alteration to left atrioventricular valvar regurgitation in one patient. Seven patients are in class I of the New York Heart Association, four in class II, and one in class III. Tetralogy of Fallot associated with atrioventricular septal defect can be corrected with low mortality and good long-term results. Residual lesions, however, have a tendency to progress, especially when seen in combination. After surgery, all patients need long-term close follow-up.

scholarly journals Surgical treatment of adult atrial septal defect: Early and long-term results

1992 ◽  
Vol 20 (5) ◽  
pp. 1156-1159 ◽  
Author(s):  
Keith A. Horvath ◽  
Redmond P. Burke ◽  
John J. Collins ◽  
Lawrence H. Cohn
Keyword(s):  
Surgical Treatment ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Long Term Results

scholarly journals Long-term results of transcatheter closure of large secundum atrial septal defect: comparison of intraoperative device closure

Heart ◽  
2011 ◽  
Vol 97 (Suppl 3) ◽  
pp. A209-A209
Author(s):  
G. Jinjian ◽  
Y. Xiaoping ◽  
L. Chaogui ◽  
P. Yafei ◽  
L. Yukun ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Long Term Results ◽  
Secundum Atrial Septal Defect ◽  
Device Closure

scholarly journals Very long-term results of electroanatomic-guided radiofrequency ablation of atrial arrhythmias in patients with surgically corrected atrial septal defect

EP Europace ◽  
2014 ◽  
Vol 16 (12) ◽  
pp. 1800-1807 ◽  
Author(s):  
Marco Scaglione ◽  
Domenico Caponi ◽  
Elisa Ebrille ◽  
Paolo Di Donna ◽  
Francesca Di Clemente ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Long Term Results ◽  
Atrial Arrhythmias

scholarly journals Features of endovascular closure of secondary atrial septal defect in older patients

2020 ◽  
Vol 22 (10) ◽  
pp. 64-68
Author(s):  
Ilya A. Kovalchuk ◽  
◽  
Ionatan R. Rafaeli ◽  
Aleksey V. Azarov ◽  
Sergey P. Semitko ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Economic Effect ◽  
Adult Patients ◽  
Long Term Results ◽  
Right Heart ◽  
Heart Rhythm Disorders ◽  
The Right

Aim. Secondary atrial septal defect (ASD II) is one of the most common congenital heart defects. While all the issues of endovascular correction of this disease in children and young patients have been practically resolved, many issues still remain debatable regarding the treatment of adult patients. In the proposed work, the author analyzes the main information’s discussed in the literature concerning this issue, such as the expediency and tactics of treatment of adult patients with ASD II, depending on its anatomical forms, the status of intracardiac and pulmonary-arterial hemodynamics, the presence of concomitant diseases. Materials and methods. The article presents a literature review based on the results of searching of publications in Russian and international bibliographic da-tabases (PubMed, eLIBRARY, Medscape, etc.). Results. Analysis of the literature data in most cases indicates the feasibility and high efficiency of endovascular closure of hemodynamically significant ASD II in elderly patients. The analysis of dynamic observations in the long term after endovascular treatment, reveals a decrease in MPAP as well as the size of the right heart. At the same time, compliance with certain rules makes the intervention quite safe, regardless of the age of patients and, to a certain extent, the severity of symptoms. In the literature, it is particularly emphasized that when determining the management tactics of adult patients with ASD II in order to prevent possible complications, should be objectively evaluated and taken into account such factors that determine their initial state as: the presence of high MPAP, volume overload of the right heart, and vice versa, underloading of the left heart, the conditions of the heart valves, the presence of arterial hypertension, existence of heart rhythm disorders, ischemic heart disease and left ventricle dysfunction. Conclusion. Modern medical literature convincingly proves that with the right selection of patients, transcatheter closure is a safe, highly effective method of correction of ASD II, accompanied by real economic effect and it should be considered a standard in the treatment of middle-aged and elderly patients. At the same time, studies on long-term results show that the positive functional effect does not have age restrictions.

scholarly journals Long-term results after percutaneous closure of atrial septal defect: Cardiac remodeling and quality of life

2013 ◽  
Vol 23 (2) ◽  
pp. 53 ◽  
Author(s):  
InesPaola Monte ◽  
Lucio Tropea ◽  
Corrado Tamburino ◽  
Wanda Deste ◽  
Vincenzo Lavanco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Septal Defect ◽  
Cardiac Remodeling ◽  
Septal Defect ◽  
Percutaneous Closure ◽  
Long Term Results
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