scholarly journals AV-7 Emergency open-heart surgery during the 1st year of life and a new instrument for surgical creation of an atrial septal defect

1984 ◽  
Vol 13 (3) ◽  
pp. 191-193
Author(s):  
T. Sakamoto
Keyword(s):  
Atrial Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Open Heart ◽  
New Instrument

scholarly journals Outcome of Surgical Closure of Atrial Septal Defect in Sulaimani City

2020 ◽  
Author(s):  
Aso Faeq Salih ◽  
Hakam Marwan Mhadi ◽  
Shkar Raeof
Keyword(s):  
Atrial Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Age Group ◽  
Open Heart ◽  
Group 13 ◽  
Surgical Closure ◽  
Septal Defects ◽  
Atrial Septal Defects

An atrial septal defect (ASD), sometimes called a hole in the heart is a type of congenital heart defect in which there is an abnormal opening in the dividing wall between the upper filling chambers of the heart (the atria). To determine the outcome of surgical closure in patients with atrial septal defects, we designed a retrospective study, including 120 patients present with an atrial septal defect after surgical closure done in the cardiac teaching center in Sulaimani city. The data collected include the patients that admitted which are known cases of ASD and treated by open heart surgery during the last nine years from 1st of January 2008 until the 1st of January 2018. A total of 120 children diagnosed with Atrial Septal Defect (ASD) were included in this study with a mean age of 7.8±4.4 years; 32.5% of them were 1-5 years old, 50.8% of them were in the age group 6-12 years, and 16.7% of them were in the age group 13-19 years. Only three ASD children received medical treatment while all of them were treated surgically with open-heart surgery. The mean age of ASD children at surgery was7.8±4.4 years; 5.8% of them were 1-2 years old, 28.4% of them were 3-5 years old, 49.1% of them were in the age group 6-12 years, and 16.7% of them were in the age group 13-19 years. There was a significant association between primum ASD type and large ASD with posteroinferior deficient rims (P=0.04). A significant association was observed between primum ASD type and large IAS (P=0.006). Mean ASD diameter was significantly higher among patients with primum ASD type (P=0.01). The outcome of surgical closure of the atrial septal defect in children is effective and safe. Ventricular arrhythmia in the form of ectopic was the postoperative complication in one patient. The main echocardiography findings of children with atrial septal defects were large ASD with posteroinferior deficient rims.

Axillary artery: An unanticipated choice of access in the cath lab!

2021 ◽  
pp. 021849232110264
Author(s):  
Puneet Varma ◽  
Bharath A Paraswanath ◽  
Anand Subramanian ◽  
Jayaranganath Mahimarangaiah
Keyword(s):  
Hospital Stay ◽  
Heart Surgery ◽  
Septal Defect ◽  
Axillary Artery ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Rare Site

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.

scholarly journals CONGENITALABSENCE OF LEFT PERICARDIUM AND MEDIASTINAL PLEURA: A RARE INCIDENTAL FINDING DURING OPEN HEART SURGERY.

2020 ◽  
pp. 36-37
Author(s):  
Varuna Varma ◽  
Ankit Thukral
Keyword(s):  
Heart Surgery ◽  
Septal Defect ◽  
Pleural Cavity ◽  
Incidental Finding ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Atrial Septal Defect Closure ◽  
Pericardial Defect ◽  
Left Pleural Cavity ◽  
Mediastinal Pleura

9 Year old male child planned for elective Atrial Septal Defect closure Surgery.He had a incidental Intra Operative finding of Partial pericardial defect on left side with Pericardial Herniation in left pleural cavity.

scholarly journals A hybrid procedure for the closure of a large muscular ventricular septal defect in a 6-month-old infant

2020 ◽  
Author(s):  
Dijana Popevski ◽  
Ivan Milev ◽  
Simona Despotovska ◽  
Rodney Alexander Rosalia ◽  
Steven Bibevski ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Hybrid Procedure ◽  
Open Heart ◽  
Device Closure ◽  
Invasive Approach ◽  
Muscular Vsd

Abstract Background: Transthoracic device closure (TTDC), also known as a Hybrid procedure, has been proposed as an alternative, less invasive approach compared to open-heart surgery for the treatment of ventricular septal defect (VSD). Case Presentation: We present our first national case of TTDC in a 6-month-old female baby with a muscular 8mm ventricular septal defect, 3 mm atrial defect, enlarged right and left ventricle and a dilated pulmonary artery complicated by severe pulmonary hypertension.Treatment consisted of two pulmonary artery banding attempts at the age of 2 months to control pulmonary hypertension – the interventions were combined with diuretics and angiotensin-converting enzymes inhibitors. Yet, the initial approach was suboptimal as we noticed a failure to thrive continuous sweating and tachypnea. Because of the worsening condition at the age of 6 months, and a weight of 6.6 kg, we performed TTDC. After median sternotomy, a 10mm muscular VSD occluder was implanted under trans-oesophagal echocardiography guidance on the beating heart. The procedure lasted 90 min and was performed without incident; the hemodynamics were stable with only a minor residual VSD. The child was extubated after 2 hours and discharged after five days from the hospital.Conclusions: Transthoracic device closure (TTDC) is a promising treatment modality for large muscular VSD in small infants with low weight. TTDC is feasible in cases with heavy myocardial right ventricle trabeculae and who previously underwent open-heart surgery.

scholarly journals The Anesthesia & Anesthetists of the First Open Heart Surgery of Bangladesh

2021 ◽  
Vol 36 (1) ◽  
pp. 55-60
Author(s):  
Suman Nazmul Hosain ◽  
Farzana Amin ◽  
Shahnaz Ferdous
Keyword(s):  
College Student ◽  
Cardiovascular Diseases ◽  
Human Resources ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Open Heart ◽  
Success Story ◽  
Direct Closure ◽  
Over Time

Although a few closed heart operations were performed in the late 1960s, well organized approach to open heart surgery began in Bangladesh only after establishment of Institute of Cardiovascular Diseases (ICVD) in 1978. A Japanese team of surgeons, anesthetists, nurses and technicians provided extensive support in capacity building of the local human resources. Ultimately the first open heart surgery of Bangladesh, the direct closure of Atrial Septal Defect of an 18 year old college student, was performed on 18th September 1981. It was great news of that time. People came to know about the success story of the ICVD director then Colonel M Abdul Malik, a renowned cardiologist cum team leader and the Bangladeshi surgeon duo Dr M Nabi Alam Khan and Dr S R Khan. But somehow the anesthetists, an important part of the team were out of focus and have been forgotten over time. Led by Prof Khalilur Rahman, the anesthetist team of the day included Dr Nurul Islam, Dr Abdul Hadi, Dr Delowar Hossain, Dr A Y F Ellahi Chowdhury and Dr Monir Hossain. This article is an attempt to remind their contribution and expressing respect and gratitude to the anesthetists of that pioneering team. Bangladesh Heart Journal 2021; 36(1) : 55-60

scholarly journals A hybrid procedure for the closure of a large muscular ventricular septal defect in a 6-month-old infant

2020 ◽  
Author(s):  
Dijana Popevski ◽  
Ivan Milev ◽  
Rodney Alexander Rosalia ◽  
Steven Bibevski ◽  
Zan Mitrev
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Heart Surgery ◽  
Septal Defect ◽  
Open Heart Surgery ◽  
Hybrid Procedure ◽  
Open Heart ◽  
Device Closure ◽  
Invasive Approach ◽  
Muscular Vsd

Abstract Background: Transthoracic device closure (TTDC), also known as a Hybrid procedure, has been proposed as an alternative, less invasive approach compared to open-heart surgery for the treatment of ventricular septal defect (VSD). Case Presentation: We present our first national case of TTDC in a 6-month-old female baby with a muscular 8mm ventricular septal defect, 3 mm atrial defect, enlarged right and left ventricle and a dilated pulmonary artery complicated by severe pulmonary hypertension.Treatment consisted of two pulmonary artery banding attempts at the age of 2 months to control pulmonary hypertension – the interventions were combined with diuretics and angiotensin-converting enzymes inhibitors. Yet, the initial approach was suboptimal as we noticed a failure to thrive continuous sweating and tachypnea. Because of the worsening condition at the age of 6 months, and a weight of 6.6 kg, we performed TTDC. After median sternotomy, a 10mm muscular VSD occluder was implanted under trans-oesophagal echocardiography guidance on the beating heart. The procedure lasted 90 min and was performed without incident; the hemodynamics were stable with only a minor residual VSD. The child was extubated after 2 hours and discharged after five days from the hospital.Conclusions: Transthoracic device closure (TTDC) is a promising treatment modality for large muscular VSD in small infants with low weight. TTDC is feasible in cases with heavy myocardial right ventricle trabeculae and who previously underwent open-heart surgery.

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