OBJECTIVE The aim of the study was to investigate the effectivity and safety of totally endoscopic cardiac surgery without robotic assistance for atrial septal defect (ASD) closure on beating hearts. METHODS Twenty-five patients (adults/children: 15/10) underwent ASD closure using nonrobotically assisted totally endoscopic approach on beating heart. Three 5-mm trocars and one 12-mm trocar wer...

OBJECTIVES Transcatheter closure of a secundum atrial septal defect (ASD II) has become an effective alternative for surgical treatment. In this study we evaluated the correlation between the two-dimensional transoesophageal echocardiographic (2D TEE) sizing of ASDs and the actual diameter of occluders in patients undergoing device closure. METHODS The records of 54 patients who underwent tra...

475 The Editor, A 48‐year‐old woman presented with shortness of breath on routine activities for 6 months. On cardiac auscultation, an ejection systolic murmur was heard at the upper left sternal border with wide and fixed splitting of the second heart sound. Electrocardiogram (ECG) was suggestive of normal sinus rhythm with right‐axis deviation, incomplete right bundle branch block (RBBB), and...

Isolated atrial septal defects (ASD) represent 7% of all cardiac anomalies and can present at any age. Adolescents and adults with simple congenital heart disease such as isolated atrial septal defects are more likely to reach adult age without being diagnosed. Secundum ASD (sASD) is by far the most common type, occurring in 1/1500 live births, with 65% to 75% involving females. On the other ha...

Atrial septal defect (ASD) is one of the common congenital anomalies of the heart in humans. Its complications depend on the size of the defect and can manifest at any age. The common symptoms of ASD include dyspnea and fatigue. Most of the ASDs are associated with morbidity and mortality, Earlier the treatment, it is better to the patient. I saw a large ostium secundum defect in the heart of a...

RATIONALE Pectus excavatum (PE) in the setting of congenital heart disease is not uncommon. The surgical strategy has evolved over the last 20 years from a staged approach to simultaneous repair of both defects. PATIENT CONCERNS A 3-year-old boy was admitted for elective repair of PE and atrial septal defect (ASD). DIAGNOSES Clinically, there were obvious features of PE and a grade 2 systol...

Scope of the Problem The population of children and adults who have undergone successful palliation of various forms of congenital heart disease (CHD) continues to increase and live longer. The reasons are multiple, and include expanded indications, early, more definitive surgery and other interventional techniques, and improved surgical, interventional, catheterization, electrophysiological, a...

OBJECTIVES We evaluated the efficiency and safety of the Occlutech Figulla device in percutaneous closure of secundum atrial septal defects (ASD). STUDY DESIGN The study included 28 patients (17 women, 11 men; mean age 43 years) who underwent percutaneous transcatheter closure using the Occlutech Figulla device for secundum ASDs causing a hemodynamically significant shunt. Defect size was est...

Objective: The present article was motivated by the frustrating experiences with four patients who underwent surgical treatment of ostium secundum atrial septal defect (ASD-II) and who died in extremely dramatic circumstances. Method: This is a retrospective study based on clinical data. The bibliographical research included: paradoxical thromboembolism (cerebral, pulmonary or mesenteric), cent...