The amplatzer [corrected] septal occluder as a standard for therapy of secundum-type [corrected] atrial septal defect
William D Hales1, Satinder K Sandhu, Edmund Kenneth Kerut
1Metairie Park Country Day School, Metairie, Louisiana, USA.
Insights
Atrial septal defect (ASD) is a common congenital heart issue. Percutaneous device closure offers a minimally invasive option for secundum ASDs, with successful outcomes in pediatric and adult patients.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Atrial septal defect (ASD) represents 5-10% of congenital heart malformations.
- Untreated ASD can lead to serious complications like heart failure, pulmonary hypertension, and stroke.
- Diagnostic imaging includes echocardiography, with transesophageal echocardiography sometimes needed for adults.
Purpose of the Study:
- To outline ASD types and diagnostic methods.
- To present outcomes of percutaneous closure for secundum ASDs.
- To evaluate the efficacy of device closure in a mixed pediatric and adult cohort.
Main Methods:
- Review of ASD classifications and diagnostic approaches.
- Description of percutaneous device closure technique for secundum ASDs.
- Analysis of clinical data from 74 patients undergoing percutaneous closure.
Main Results:
- Percutaneous closure is a viable alternative to surgery for secundum ASDs.
- Successful closure was achieved in the presented cohort of 74 children and adults.
- Minimally invasive closure demonstrated positive outcomes in diverse age groups.
Conclusions:
- Secundum ASDs can be effectively managed with percutaneous device closure.
- This technique provides a safe and efficient treatment option for both pediatric and adult patients.
- Percutaneous closure is a significant advancement in the management of congenital heart defects.
Abstract:
Atrial septal defect (ASD) accounts for 5-10% of congenital heart malformations. An uncorrected ASD may lead to congestive heart failure, severe pulmonary hypertension, or paradoxical arterial embolism with stroke. Transthoracic echocardiography is often diagnostic in the pediatric population, but transesophageal echocardiography may be required in adults. Closure of an ASD traditionally has been performed surgically, but the most common type (secundum ASD) can now be closed with a percutaneously deployed device. We briefly describe the types of ASDs and their diagnosis. Results of percutaneous closure in 74 children and adults are then presented.
