Atrial Septal Defect

Perloff, Joseph K.; Marelli, Ariane J.

doi:10.1016/b978-1-4377-1618-4.00015-8

Cited by 9 publications

(5 citation statements)

References 220 publications

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“…The common atriums were 5 (3.9%). This finding is very similar to other reported series in the literature where secundum ASDs comprise the majority, followed by primum, sinus venosus, and rarely the unroofed coronary sinus types 1,2,5,6 . All the ASDs were repaired through a median sternotomy, except one which was performed through a right anterolateral thoracotomy.…”

Section: Discussionsupporting

confidence: 91%

Twenty-two Years of Repair of Atrial Septal Defects in Ghana

Tamatey¹,

Sereboe²,

Tettey³

et al. 2022

gcps

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Introduction: Atrial septal defects (ASDs) are one of the most common types of congenital heart disease. Repair is often necessary to forestall the various complications associated with the natural history. Surgical repair under cardiopulmonary bypass has beenone of the standard modes of treatment. Much of the data available is from the rest of the world. There is not much data from the West African sub region. The purpose of this study is therefore to provide data from this sub region, guide both referring and operating clinicians in their decisions, and also to serve as comparative data for future studies. We analysed our institutional data to determine the age and sex distribution, the types of ASD and the outcome of surgical repair.Subjects and Methods: A retrospective study was done for all patients who had surgical repair of ASD from January 1992 to December 2013 in the National Cardiothoracic Centre. The data was analysed using Microsoft excel 2010 software.Results: There were 129 patients, 2 in the first year and 9 in the last year of the study. There were 53 (41.0%) males and 76 (59.0%) females. The mean age was 17.6 ± 14.9 years (1 – 70), The commonest age group was 1 – 10 years; 53 (41.0%), followed by 11 – 20years; 36 (27.9%). Secundum ASDs were the commonest, 104 (80.6%), followed by primum ASDs 14 (10.9%), and sinus venosus ASDs 6 (4.7%). Large defects described as common atrium were 5 (3.9%). Autologous pericardium was used in repairing 125 (96.9%) and GORETEX® patch was used in the remaining 4 (3.1%). Thirty-three (25.7%) cases had associated cardiac anomalies that needed concomitant surgical intervention. The commonest was cleft in the anterior mitral leaflet causing severe mitral regurgitation 12 (9.3%), followed by pulmonary stenosis (PS) 11 (8.5%). There was an early mortality of 2 (1.6%). No other significant complication wasencountered.Conclusion: Surgical repair of ASDs in this sub region has been going on for over two decades now, with excellent outcomes. Patients with ASDs must be offered repair as soon as possible to forestall the serious complications that may follow unrepaired ASDs

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Section: Discussionsupporting

confidence: 91%

Twenty-two Years of Repair of Atrial Septal Defects in Ghana

Tamatey¹,

Sereboe²,

Tettey³

et al. 2022

gcps

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“…On the other hand, the excessive blood flow from left to right atrium leads to volume overload of right atrium and right ventricle leading to atrial arrhythmias and right sided failure. Thus mitral stenosis worsens the hemodynamic of ASD [1].…”

Section: Discussionmentioning

confidence: 99%

“…It is currently regarded as a combination of congenital ostium secundum atrial septal defect and acquired mitral stenosis although Lutembacher stressed that his patient was having a congenital mitral stenosis [1]. The natural history of mitral stenosis changes favourably by presence of ASD which allows left atrium to decompress and prevents development of symptoms for long as gradient across the mitral valve decreases.…”

Section: Discussionmentioning

confidence: 99%

Complete Percutaneous Management of Lutembacher Syndrome with Severe Pulmonary Hypertension in a Middle Aged Indian Female: Is this the Magic Wand?

Sk¹,

Kk²,

Singh³

et al. 2016

Glob J Medical Clin Case Rep

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Lutembacher syndrome is a combination of ostium secundum atrial septal defect with acquired rheumatic mitral stenosis. This is a case of middle aged woman who had lutembacher syndrome with severe pulmonary hypertension with class IV symptoms. She had very severe mitral stenosis with valve area of 0.7 cm 2 and ostium secundum atrial septal defect of 14 mm size. The management of lutembacher syndrome was only surgical till 1990s. Total percutaneous management has been described in late 1990s. Percutaneous management is relatively cheaper option and saves the patient from artificial valve and related complications. However, only a small number of cases of total percutaneous management of this condition are available in world literature.This patient was managed with percutaneous transmitral commissurotomy with Inoue balloon. Immediately after commissurotomy, her pulmonary artery pressure decreased by one-third. Device closure was done for her atrial septal defect in the same sitting. Her pulmonary artery pressure decreased further. The procedure was successful without any complications. She was symptomatically better on first post-procedure visit. IntroductionLutembacher syndrome is a combination of ostium secundum atrial septal defect with acquired rheumatic mitral stenosis. The management of lutembacher syndrome was only surgical till 1990s. Total percutaneous management has been described in late 1990s. Percutaneous management is relatively cheaper option and saves the patient from artificial valve and related complications. However, only a small number of cases of total percutaneous management of this condition are available in world literature. Case PresentationA fifty-five years old female was referred to our institute from a remote place for double valve replacement (aortic and mitral) with atrial septal defect closure. She had a history of breathlessness on exertion for one year that had progressively increased from class II to class IV. The clinical examination revealed a low grade mid diastolic rumble and loud pulmonary component of second heart sound. A mid systolic murmur was present at left upper parasternal region and a pansystolic murmur was present at left lower parasternal region. The ECG showed normal sinus rhythm with left atrial abnormality. Echocardiogram revealed rheumatic heart disease with very severe mitral stenosis with mitral valve area of 0.

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“…Lutembacher's syndrome (LS) is a very rare condition and is characterized by a congenital ostium secundum type atrial septal defect (OS-ASD) and an acquired mitral stenosis (MS) which is commonly rheumatic in origin. 1,2 Traditionally the treatment preferred for patients with LS was surgical ASD closure and open mitral commissurotomy or valve replacement. 3,4 However, percutaneous management is always desirable, especially in females in whom LS is more common.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Transcatheter Therapy in a Case of Lutembacher’s Syndrome

Nadkarni,

Parab,

Naik

2024

Indian Journal of Clinical Cardiology

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Lutembacher’s syndrome is a rare condition and is most often treated surgically. Due to the advances in percutaneous procedures, this form of management is desired which has the advantage of decreased morbidity and is aesthetically superior. In this case report of percutaneous treatment for a Lutembacher’s patient the percutaneous transvenous mitral commissurotomy and atrial septal defect device closure was done with minimal technical difficulties and with excellent post-procedure results.

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Atrial Septal Defect

Cited by 9 publications

References 220 publications

Twenty-two Years of Repair of Atrial Septal Defects in Ghana

Twenty-two Years of Repair of Atrial Septal Defects in Ghana

Complete Percutaneous Management of Lutembacher Syndrome with Severe Pulmonary Hypertension in a Middle Aged Indian Female: Is this the Magic Wand?

Percutaneous Transcatheter Therapy in a Case of Lutembacher’s Syndrome

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