66. Secundum type atrial septal defects: early and late results of surgical repair utilizing extracorporeal circulation in 250 patients

Sellers, Robert D.; Ferlic, Randolph M.; Sterns, L.P.; Lillehei, C. Walton

doi:10.1016/0002-9149(65)90676-4

Cited by 6 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the exception of the patient who died of myocardial infarction, it is likely that none of the patients would have died if present methods of operative and post-operative management had been available, a conjecture attested by the fact that no patient has died following operation for atrial septal defect within the past four years. 732 DF Dk 0e 0F Operative Treatment of Atrial Septal Defect The post-operative hmmodynamic studies revealed that complete abolitionm of the circulatory shunt was achieved in 137 of 148 patients (93%) in whom immediate complete closure of the defect was attempted, an incidence of complete repair similar to that reported by Sellers and associates (Sellers et al, 1966). Fortunately, the residual shunts have generally been small, and no patient has required a second operation.…”

Section: Commentmentioning

confidence: 60%

“…Four of the patients were adults, all over 40 years of age; 3 of them had been treated for congestive heart failure, and 2 had severe pulmonary hypertension. These factors, prior congestive heart failure, advanced age, and pulmonary hypertension, have been designated in other reports as contributing to an increased operative risk in atrial septal defect (McGoon et al, 1959;Gross, 1962;Sellers et al, 1966). In 3 of these patients, however, these factors were not directly responsible for the deaths which resulted from technical errors (air embolism, lung laceration, infection).…”

Section: Commentmentioning

confidence: 96%

See 1 more Smart Citation

Operative treatment of atrial septal defect: clinical and haemodynamic assessments in 175 patients.

Cohn¹,

Morrow²,

Braunwald³

1967

Heart

View full text Add to dashboard Cite

Atrial septal defect is one of the most common congenital cardiovascular malformations, and as a result cardiologists have become generally familiar with its various clinical and hiemodynamic manifestations, and surgeons with the methods of operative treatment required. Relatively less information is available, however, concerning the effectiveness of operation as measured by the results of detailed pre-and post-operative evaluations. The present report describes such evaluations, carried out in 175 patients with atrial septal defect, who were studied and operated upon at the National Heart Institute. SELECTION OF PATIENTSThe 175 patients described were studied and operated upon consecutively between February 1958 and July 1965. Atrial septal defects of the septum secundum type were proved to be present in 150 patients, and sinus venosus defects, associated with partial anomalous pulmonary venous connexion, in the remaining 25. Patients with the incomplete form of persistent A-V canal, and those in whom atrial septal defect was associated with another congenital or acquired cardiovascular malformation that required concomitant treatment were excluded from the analysis.CLINIcAL DESCRIPTIONS Age and Sex. The 175 patients, of whom 70 were male and 105 female, ranged in age from 4 to 65 years; 41 were less than 13 years, and 37 were more than 40 years. The sex distribution was identical among patients with secundum and sinus venosus defects.Symptoms and Historical Data. One-hundred and fifty patients were symptomatic before operation. Exertional dyspnoea and decreased exercise tolerance were the most frequent symptoms, and were described by 97 patients. Thirty-one patients had had frequent respiratory infections, 28 palpitations, 10 retarded growth, 17Received January 2, 1967. 725 substernal chest pain, 13 recurrent tachycardia, and 4 had experienced syncope. Twenty-nine patients were under treatnent for heart failure or much reduced cardiac reserve at the time of initial evaluation. Only 25 patients were completely asymptomatic, as judged by both prospective and retrospective analysis, and they were initially referred solely because a heart murmur or cardiomegaly had been detected on a routine examination.PHYsICAL FINDINGS Right ventricular enlargement, indicated by a palpable right ventricular lift, was evident in 144 of the 175 patients. A systolic thrill along the left sternal border was palpable in 16 patients, only 7 of whom subsequently proved to have a systolic pressure gradient between the right ventricle and pulmonary artery greater than 10 mm. Hg. Fixed splitting of the second heart sound throughout the respiratory cycle was present in 161 patients; 14 (8%) exhibited normal splitting of the second sound during respiration, a finding verified in each instance by phonocardiography. The pulmonary component of the second sound was increased in intensity in 133 patients. An early systolic ejection sound was audible at the pulmonary area in 24 of the 175 patients (13%), but was not consistently related to incre...

show abstract

Section: Commentmentioning

confidence: 60%

Section: Commentmentioning

confidence: 96%

Operative treatment of atrial septal defect: clinical and haemodynamic assessments in 175 patients.

Cohn¹,

Morrow²,

Braunwald³

1967

Heart

View full text Add to dashboard Cite

show abstract

“…Residual shunts at follow up are rare, but their incidence can be as high as 7.8% to 16.7% 2630 31 Mild complications (atelectasis, gastrointestinal, urinary tract infection, pleural effusion) have been reported29 in 72.9% of paediatric patients and in 67.5% of adults. Gala et al reported the results of perioperative complications following surgical closure of ASD II in 232 patients 29.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous closure of secundum atrial septal defect with a new self centring device ("angel wings")

Rickers

Hamm

Stern

et al. 1998

Heart

View full text Add to dashboard Cite

Objective-To investigate the safety, eYcacy, and clinical application of a new self centring device ("angel wings") for closure of secundum atrial septal defects (ASD II) and persistent foramen ovale in all age groups. Design-Multicentre, prospective, nonrandomised study. Modifications of the design, however, seem to be mandatory as 4% of patients developed serious complications. (Heart 1998;80:517-521) Patients-Inclusion

show abstract

“…Sellers et al reported in a series of 275 patients with a history of operative treatment of ASD a recurrent shunt rate of 7% 2. Diversion of the IVC into the LA and residual RLS is a rare postoperative complication following surgical ASD closure 3.…”

Section: Commentmentioning

confidence: 99%

Late Clinical Presentation of Inferior Vena Cava Deviation into the Left Atrium Following Atrial Septal Defect Repair in the Childhood

Ahmad

Kleine

Lehnert

et al. 2015

THORAC CARDIOV SURG Reports

View full text Add to dashboard Cite

A 19-year-old woman underwent ASD closure with patch in the childhood. Fifteen years later, she presented with severe cyanosis and dyspnea on exertion. Clinical diagnostics revealed a dislocation of the patch resulting in a right-to-left shunt (RLS) that was compensated in the past years by a recurrent ASD allowing a left-to-right shunt (LRS). The existing balance between interatrial shunts vanished by the growth of the patient leading to the clinical deterioration. After successful redo surgery, the patient was discharged home 8 days postoperatively.

show abstract

66. Secundum type atrial septal defects: early and late results of surgical repair utilizing extracorporeal circulation in 250 patients

Cited by 6 publications

References 0 publications

Operative treatment of atrial septal defect: clinical and haemodynamic assessments in 175 patients.

Operative treatment of atrial septal defect: clinical and haemodynamic assessments in 175 patients.

Percutaneous closure of secundum atrial septal defect with a new self centring device ("angel wings")

Late Clinical Presentation of Inferior Vena Cava Deviation into the Left Atrium Following Atrial Septal Defect Repair in the Childhood

Contact Info

Product

Resources

About