A 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified th...

Percutaneous device occlusion of secundum atrial septal defect (ASD) has become an accepted alternative to surgical repair. A variety of devices have been used successfully. However, all of them have limitations. We report our experience with two devices used to close multiple ASDs.

The percutaneous closure of ostium secundum (OS) atrial septal defect (ASD) is a well-established procedure and is today considered the treatment of choice due to its good results and low morbidity and mortality. The procedure is routinely performed through the inferior vena cava (IVC). However, this route of access is not always available due to the obstruction or congenital absence of the IVC...

Results He was taken to operation, pericardium was very adherent and epicardium was cleaned with gentle dissection. Inferior vena cava cannulation was performed and the cannula was misguided to left atrium transseptally, it was detected by the help of blood color and cannula was redirected to IVC by special stretching manuevre. Under total cardiopulmonary bypass fossa ovalis type secundum ASD w...

here has been much controversy during the past 50 years s to which patients with secundum atrial septal defects ASDs) should have them repaired. Because there was little vidence to support a mortality benefit, a morbidity advanage, or a clear and objective functional improvement after urgical closure, many physicians and patients waited until ymptoms developed before seeking the surgeon’s help....

AIMS Human congenital heart disease linked to mutations in the homeobox transcription factor, NKX2-5, is characterized by cardiac anomalies, including atrial and ventricular septal defects as well as conduction and occasional defects in contractility. In the mouse, homozygous germline deletion of Nkx2-5 gene results in death around E10.5. It is, however, not established whether Nkx2-5 is necess...

BACKGROUND Use of the Amplatzer septal occluder (ASO) for the closure of secundum atrial septal defect (ASD) has recently become the procedure of choice, while earlier the only treatment for ASD was surgical closure. This study compares the right ventricular indices of the ASO group with the surgical closure group one year after intervention in adults. METHODS From January 2008 to February 20...

An ASD is a relatively common congenital heart disease with a birth prevalence of 1.6 per 1000 live births, and a probability of survival into adulthood of 97 % [2, 3]. Different types of ASDs exist, and the secundum type, located at the fossa ovalis, is the most common (75 %) [4]. An ASD is characterised by a left-to-right shunt with volume overload of the right heart and pulmonary overcircula...

INTRODUCTION In this study we compared the effects of two different surgical procedures for closure of adult atrial septal defect (ASD) on postoperative P-wave changes. METHODS Patients who underwent cardiac surgery for secundum type ASD closure were evaluated retrospectively. Seventy-two patients with primary repair of ASD and 29 patients with pericardial patch plasty repair were compared ac...