Related Experiment Videos
[Surgery of symptomatic interauricular communication in the first year of life]
G Gordovilla Zurdo1, J Cabo Salvador, F Moreno Granados
1Servicio de Cirugía cardíaca, Clínica Infantil La Paz, Madrid, España.
Insights
Surgery for symptomatic atrial septal defect (ASD) in infants is uncommon but feasible. This study shows infant ASD surgery can lead to excellent long-term outcomes with no residual symptoms.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Cardiac Surgery
Context:
- Symptomatic atrial septal defect (ASD) is rare in infants, with few cases requiring surgical intervention.
- Infantile ASD surgery presents unique challenges due to patient size and physiological immaturity.
Purpose:
- To present surgical outcomes for symptomatic atrial septal defect (ASD) in infancy.
- To analyze risk factors associated with symptomatic ASD presentation in infants.
Summary:
- This case series details the surgical correction of 6 infants with symptomatic atrial septal defect (ASD) over 17 years.
- Patients aged 5-11 months underwent surgery for ASD, with associated anomalies in some cases. One mortality occurred due to hypoplastic left heart syndrome. All survivors remain asymptomatic post-operatively, with follow-up averaging 88.4 months.
Impact:
- Demonstrates the feasibility and positive long-term results of surgical intervention for symptomatic infantile ASD.
- Highlights the importance of early surgical management for improving quality of life in affected infants.
Abstract:
Symptomatic atrial septal defect (ASD) is rare in infancy and even more is symptomatic ASD requiring surgery at that age (13.7% and 3.7% respectively in our series). Our experience on surgery for symptomatic ASD in infancy with 6 cases out of 161 consecutive ASD surgically corrected during an experience of 17 years is presented. Ages ranged between 5 and 11 months (9.5 +/- 2.5 months) and weight between 4 and 6.400 kg (5.3 +/- 0.8 kg). In all cardiomegally was present with cardiothoracic ratio between 0.6 and 0.7 in 4 and over 0.7 in the remainder two cases. Isolated ASD was present in 3 cases, associated partial anomalous pulmonary venous drainage ein 3 and additional ventricular septal defect in one. Mortality was present in one case due to hypoplasia of the left ventricular cavity. Follow up ranged between 30 and 156 months with a cumulative follow up of 442 months, mean 88.4 +/- 50.8 months/patient. Clinically all are asymptomatic without medication. Clinical and hemodynamic data file, surgery complications and possible risk factors for development symptomatology in the ASD in infancy are widely commented.