Outcome in Patients with Secundum Type Atrial Septal Defect Referred for Percutaneous or Surgical Closure: A...

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Atrial Septal Defects (ASD) are common congenital heart abnormalities.
• Treatment options for ASD include surgical repair and transcatheter device closure.
• Choosing the optimal closure method is crucial for patient outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of both surgical and interventional closure of Atrial Septal Defects (ASD).
• To compare outcomes between surgical and transcatheter closure methods for ASD.
• To assess the role of echocardiography in guiding the choice of ASD closure procedure.

Main Methods:

• Retrospective analysis of 611 patients undergoing ASD closure.
• Data collected on patient demographics, procedural details, and follow-up outcomes.
• Comparison of outcomes between intracardiac repair (surgical) and transcatheter device closure (interventional).

Main Results:

• No in-hospital mortality observed in either surgical or interventional groups.
• Transcatheter device closure was successful in a high percentage of attempted cases.
• Complete normalization of right ventricular dimensions occurred in a significant portion of patients post-closure.
• Complications included device erosion, dislocation, and persistent atrial fibrillation in a small number of patients.

Conclusions:

• Both surgical and interventional closure of ASD are safe and effective treatment options.
• Pre-operative echocardiography is valuable in selecting the appropriate closure strategy.
• Transcatheter device closure offers a viable alternative to surgical repair for many ASD patients.