Surgical or interventional treatment for adult patients with atrial septal defect and atrial fibrillation: A systemic review and meta-analysis

Wu, Shye-Jao

doi:10.1016/j.asjsur.2021.06.021

Cited by 7 publications

(7 citation statements)

References 24 publications

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“…There are reports of branch blocks persisting after the procedure. 19,20 In our study, 44 patients had incomplete right bundle branch blocks, and three patients had complete right bundle branch blocks. As stated in previous studies, the higher incidence of right bundle branch blocks in surgical patients may be attributable to the surgical incision, as well as the greater volume load on the right ventricle in the preoperative period.…”

Section: Discussionmentioning

confidence: 60%

“…A meta-analysis of adult ASD patients who underwent surgical and transcatheter closure included cases with arrhythmias that require cardioversion. 20 Hemodynamic parameters were evaluated via right heart catheterization in patients who underwent transcatheter closure, but right heart catheterization was not performed in patients undergoing surgical closure in our center. The decision to perform surgery was made based on the patients' echocardiographic measurements.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Arrhythmia Prevalence, Management, and Risk Factors in Patients with Transcatheter and Surgically Closed Secundum Atrial Septal Defects

Doğan¹

2023

Arch Turk Soc Cardiol

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Objective: Atrial septal defect (ASD) accounts for 6-10% of all congenital heart disorders.Secundum ASD closure can be performed surgically or percutaneously. We aimed to identify the various arrhythmias that occur before, during, and after the procedure and evaluate their management. Methods:The study included a total of 427 patients aged 0-18 years who underwent transcatheter or surgical closure of isolated secundum ASD between January 2008 and January 2020. Postoperative electrocardiogram (ECG) traces, intraoperative arrhythmias, and treatments were recorded for both groups. Echocardiography and ECG were evaluated at postoperative 1 week, 1, 3, and 6 months, and annually thereafter. Results: After transcatheter closure, follow-up basal ECG showed incomplete right bundle branch block pattern in 21 patients and sinus rhythm in 229 patients. After surgical closure, incomplete right bundle branch block pattern was detected in 23 patients, complete right bundle branch block in 3 patients, and complete AV-block (Atrioventricular Block) pattern in 1 patient.The other 150 patients showed sinus rhythm. At least one postoperative follow-up Holter ECG record could be obtained for 104 patients in the transcatheter group and 96 patients in the surgical group. Of 104 patients who underwent transcatheter closure, 97 (93.3%) had normal Holter ECG findings and 7 (6.7%) had arrhythmia. Of the 96 patients who underwent surgical closure, 85 (88.5%) had normal Holter ECG traces and 11 (11.5%) had arrhythmia. There was no statistically significant difference in the frequency of arrhythmia (P = 0.164). Conclusion:The higher frequency of arrhythmia in adult studies compared to the pediatric age group once again demonstrates the importance of early diagnosis and treatment of ASD in childhood. The similar incidence of arrhythmia in both groups supports the safety and effectiveness of both closure methods in eligible patients.

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Evaluation of Arrhythmia Prevalence, Management, and Risk Factors in Patients with Transcatheter and Surgically Closed Secundum Atrial Septal Defects

Doğan¹

2023

Arch Turk Soc Cardiol

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“…This is more likely for paroxysmal AF but less successful for persistent or long-standing AF. The reduction in recurrence rate for AF, postablation, is highest with bi-atrial surgical ablation [56]. For the patient with persistent AF in the context of ASD, these factors may influence decision making and surgical approach.…”

Section: Surgical Techniquementioning

confidence: 99%

Minimal-Access Atrial Septal Defect (ASD) Closure

Hardman

Zacharias

2023

JCDD

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Progress towards the development and adoption of minimally invasive techniques in cardiac surgery has been slower than that seen in other surgical specialties. Congenital heart disease (CHD) patients represent an important population within cardiac disease, of which atrial septal defect (ASD) is one of the most common diagnoses. Management of ASD encompasses a range of minimal-access and minimally invasive approaches, including transcatheter device closure, mini-sternotomy, thoracotomy, video-assisted, endoscopic, and robotic approaches. In this article, we will discuss the pathophysiology of ASD, along with diagnosis, management, and indications for intervention. We will review the current evidence supporting minimally invasive and minimal-access surgical ASD closure in the adult and paediatric patient, highlighting peri-operative considerations and areas for further research.

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“…Because ASD in adults tends to promote the development of atrial tachycardia, repair of ASD should be considered as early as possible [ 91 , 92 ]. A reduction in the prevalence of AF was observed after ASD closure alone, which is mainly effective for paroxysmal AF, but not for persistent or long-standing persistent AF [ 93 ]. In addition, device closure alone in patients with persistent atrial arrhythmia is unlikely to restore sinus rhythm for patients with ASD who are above 40 years of age [ 94 ].…”

Section: Atrial Fibrillation Surgery In Congenital Heart Diseasementioning

confidence: 99%

2023 KASNet Guidelines on Atrial Fibrillation Surgery

Je,

Choi,

Hwang

et al. 2023

J Chest Surg

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Surgical or interventional treatment for adult patients with atrial septal defect and atrial fibrillation: A systemic review and meta-analysis

Cited by 7 publications

References 24 publications

Evaluation of Arrhythmia Prevalence, Management, and Risk Factors in Patients with Transcatheter and Surgically Closed Secundum Atrial Septal Defects

Evaluation of Arrhythmia Prevalence, Management, and Risk Factors in Patients with Transcatheter and Surgically Closed Secundum Atrial Septal Defects

Minimal-Access Atrial Septal Defect (ASD) Closure

2023 KASNet Guidelines on Atrial Fibrillation Surgery

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