Transcatheter Device Closure of Secundum Atrial Septal Defect in Adult Patient.
Amplatzer occluder
Atrial septal defect (ASD)
Doppler echocardiography
atrial septal occluder (ASO)
echocardiography
transcatheter device closure
Journal
Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH
ISSN: 0353-8109
Titre abrégé: Acta Inform Med
Pays: Bosnia and Herzegovina
ID NLM: 101147064
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
entrez:
20
5
2021
pubmed:
21
5
2021
medline:
21
5
2021
Statut:
ppublish
Résumé
Atrial septal abnormalities are common congenital lesions remaining asymptomatic until adulthood in a great number of patients. The most frequent atrial septal defects in adults are ostium secundum atrial septal defect (ASD). Complications from untreated, hemodynamically significant ASD are atrial arrhythmia, paradoxical embolization, Eisenmenger's syndrome, pulmonary hypertension, and right ventricular failure. We present a case report of secundum ASD in adult female patient who underwent transcatheter device closure with Amplatzer occluder. The case of female Bosnian patient 50 years old who lives in Belgium for 20 years ago and during her visit to Bosnia she came to our polyclinic for cardiological exam. Echocardiographic exam showed enlargement of left atrium (LAD 51mm), right atrium and ventricle (RAD 46mm, RVd 33mm), atrial septal defect 9mm with left right shunt Qp:Qs 2,3:1. Several months later transcatheter device closure with Amplatzer occluder was performed and subsequent symptomatic improvement reported after closure. Echocardiography has superior role for precise evaluation of ASD type secundum who are suitable for transcatheter device closure as primary treatment option. Transcatheter techniques has now become preferable to surgical repair and provide valid option of treatment for this type of CHD.
Sections du résumé
BACKGROUND
BACKGROUND
Atrial septal abnormalities are common congenital lesions remaining asymptomatic until adulthood in a great number of patients. The most frequent atrial septal defects in adults are ostium secundum atrial septal defect (ASD). Complications from untreated, hemodynamically significant ASD are atrial arrhythmia, paradoxical embolization, Eisenmenger's syndrome, pulmonary hypertension, and right ventricular failure.
OBJECTIVE
OBJECTIVE
We present a case report of secundum ASD in adult female patient who underwent transcatheter device closure with Amplatzer occluder.
METHODS AND RESULTS
RESULTS
The case of female Bosnian patient 50 years old who lives in Belgium for 20 years ago and during her visit to Bosnia she came to our polyclinic for cardiological exam. Echocardiographic exam showed enlargement of left atrium (LAD 51mm), right atrium and ventricle (RAD 46mm, RVd 33mm), atrial septal defect 9mm with left right shunt Qp:Qs 2,3:1. Several months later transcatheter device closure with Amplatzer occluder was performed and subsequent symptomatic improvement reported after closure.
CONCLUSION
CONCLUSIONS
Echocardiography has superior role for precise evaluation of ASD type secundum who are suitable for transcatheter device closure as primary treatment option. Transcatheter techniques has now become preferable to surgical repair and provide valid option of treatment for this type of CHD.
Identifiants
pubmed: 34012216
doi: 10.5455/aim.2021.29.65-70
pii: AIM-29-65
pmc: PMC8116089
doi:
Types de publication
Case Reports
Langues
eng
Pagination
65-68Informations de copyright
© 2021 Nabil Naser, Nura Hadziomerovic, Sevleta Avdic.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interest.
Références
J Am Coll Cardiol. 2019 Apr 2;73(12):e81-e192
pubmed: 30121239
Circulation. 2005 Aug 9;112(6):828-35
pubmed: 16061735
J Tehran Heart Cent. 2011 Spring;6(2):79-84
pubmed: 23074610
Catheter Cardiovasc Interv. 2017 Jan;89(1):102-111
pubmed: 27189502
J Am Coll Cardiol. 2006 Jan 17;47(2):326-31
pubmed: 16412855
Int J Cardiol. 2007 Aug 21;120(2):198-204
pubmed: 17182132
Circ Cardiovasc Interv. 2017 Aug;10(8):
pubmed: 28801537
Am J Cardiol. 2005 Apr 15;95(8):993-5
pubmed: 15820174
Am Heart J. 2001 Sep;142(3):482-8
pubmed: 11526362
EuroIntervention. 2011 Jul;7(3):377-85
pubmed: 21729841
Heart. 2003 Feb;89(2):199-204
pubmed: 12527678
Circulation. 2006 Oct 10;114(15):1645-53
pubmed: 17030704
AJR Am J Roentgenol. 2009 Dec;193(6):1522-9
pubmed: 19933643
Pediatr Cardiol. 2000 Sep-Oct;21(5):465-9
pubmed: 10982709
JACC Cardiovasc Imaging. 2008 Jul;1(4):515-7
pubmed: 19356475
Am J Cardiol. 2012 May 1;109(9):1348-52
pubmed: 22335856
J Am Coll Cardiol. 2002 Jun 5;39(11):1836-44
pubmed: 12039500
Am J Cardiol. 2009 Feb 15;103(4):550-4
pubmed: 19195519
JACC Cardiovasc Interv. 2013 May;6(5):497-503
pubmed: 23602461
Am Heart J. 2008 Oct;156(4):706-12
pubmed: 18926151
Eur Heart J. 2010 Dec;31(23):2915-57
pubmed: 20801927