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[Surgical treatment of infant atrial septal defect: report of two cases]
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 1, 1989
Insights
Surgical closure of atrial septal defects (ASD) is typically elective for older patients. However, this study details two infants with ASD requiring surgery due to ineffective conservative treatment for heart failure.
Area of Science:
- Cardiology
- Pediatric Surgery
- Congenital Heart Disease
Context:
- Atrial septal defect (ASD) is a congenital heart condition.
- Secundum type ASD is the most common form.
- Surgical intervention is usually elective for older individuals.
Purpose:
- To report on the surgical management of infants with isolated secundum atrial septal defect (ASD).
- To highlight cases where conservative treatment failed, necessitating early surgical intervention.
- To discuss the implications of intractable heart failure in infants with ASD.
Summary:
- Two infants with isolated secundum ASD presented with intractable heart failure unresponsive to conservative management.
- Surgical closure of the ASD was required in these infants.
- This contrasts with the typical elective surgical approach for older patients.
Impact:
- Demonstrates the need for timely surgical consideration in infants with ASD and heart failure.
- Contributes to understanding the spectrum of ASD presentation and management in neonates.
- Informs pediatric cardiac surgical strategies for complex infant cases.
Abstract:
The operation for the isolated secundum type of atrial septal defect (ASD) is usually conducted electively in the older age. Small number of cases, however, inevitably require surgical treatment for the reason of intractable heart failure. We have experienced such two infants with the isolated secundum type of ASD, whose conservative treatment was ineffective.