Intraoperative device closure of large secundum atrial septal defects; a safe alternative to transcatheter closure

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Li HongxinCheng-wei Zou

Abstract

The aim of this study is to report our short and mid-term results of intraoperative device closure (IODC) in large secundum atrial septal defects (ASD), to evaluate its safety and to determine the impact of 'short' rim on the results. Sixty-eight patients with an ASD underwent IODC through a right minithoracotomy. Patients were divided into two groups: 37 patients in group I with one short rim (< or =5 mm) and 31 in group II with sufficient rims. A 2.5-3 cm parasternal incision was made in the right third or fourth intercostal space. A specially designed plastic sheath loaded with the device was inserted through the purse-string sutures placed on the right atrium. Under transesophageal echocardiographic guidance, it was advanced through the ASD into the left atrium and the device was deployed in place. The procedure was successful in all patients. The maximum diameter of the ASD ranged from 20 to 37 mm (mean 25+/-5 mm). There were 16 patients with the diameter of ASD more than 30 mm. The mean size of implanted devices was 29+/-4mm. Redeployment with larger device occurred in seven patients in group I and three in group II (p>0.05). Intracardiac manipulation time was 22+/-10 min in group I and 16+/-11 min in group II (p<0.01). T...Continue Reading

Citations

May 20, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Qiang ChenDao-Zhong Chen
Jul 9, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Da ZhuKe Lin
Oct 1, 2011·Journal of Cardiothoracic Surgery·Hui ZhangDao-Zhong Chen
Oct 26, 2010·The Annals of Thoracic Surgery·Xing-Hai HaoYong-Qiang Lai
Oct 30, 2010·Journal of Cardiac Surgery·Yong-Chao CuiQi-Wen Zhou
Mar 27, 2010·The Annals of Thoracic Surgery·Qiang ChenHui Zhang
Jul 22, 2019·Journal of Cardiothoracic Surgery·Han-Fan QiuXue-Shan Huang

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