کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2985664 1578694 2007 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical atrial septal defect closure after interventional occluder placement: Incidence and outcome
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Surgical atrial septal defect closure after interventional occluder placement: Incidence and outcome
چکیده انگلیسی

ObjectiveClosure of ostium secundum atrial septal defects is generally performed by using an interventional approach. We evaluated the outcome of patients requiring secondary surgical therapy.MethodsFrom September 1996 until December, 2005, 418 patients received interventional and 297 patients underwent surgical closure of an ostium secundum atrial septal defect at our center. Another 15 patients (local, 5; regional, 5; and national, 5 referrals) had complications after occluder placement, and they form the study population.ResultsIndications for surgical repair in these 15 patients were dislocation of the occluder in 5, neurologic events after occluder placement in 5, residual defects in 4, and sepsis with questionable occluder infection in 1 patient. A total of 7 patients had neurologic events, 5 of embolic origin. The interval between interventional occluder placement and definitive surgical repair was 319 ± 416 days (median 123 days; range 0–1395 days). Patient age at operation was 34.9 ± 18.6 years. Nine patients were operated on via an anterolateral minithoracotomy, and 6 received a conventional sternotomy. One patient with sepsis underwent abdominal surgery on postoperative day 1 and subsequently died of multiorgan failure; there was no proof of occluder endocarditis. At 2.2 ± 1.9 years of follow-up, all other patients had returned to full-time work without residual neurologic impairment.ConclusionsComplications may arise after interventional ostium secundum atrial septal defect closure. This must be evaluated against the extremely low risk of a standard surgical closure. The functional outcome after secondary surgical ostium secundum atrial septal defect closure with removal of an occluder system is excellent.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Thoracic and Cardiovascular Surgery - Volume 134, Issue 3, September 2007, Pages 731–737
نویسندگان
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