Endovascular treatment of аtrial septal defect with aortic margin deficiency
Abstract
Atrial septal defect (ASD) is one of the most common congenital heart defects and accounts
for about 7% of all congenital heart abnormalities. It occurs more often in women than men.
Until the 90s of the XX century, the main method of surgical treatment of ASD was a plasty or
suturing the defect in the open heart with the use of artificial circulation. The main indica-
tion for surgical correction of ASD is the presence of a moderate or significant left-right shunt
(with a coefficient of pulmonary-systemic blood flow 1.5), in order to prevent the possibility
of developing pulmonary hypertension, congestive heart failure, atrial arrhythmia and other
complications. Although surgical correction of open heart ASD is now safe, widely used and
has a low mortality rate (less than 1%), it can be accompanied by intra- and postoperative
complications that may occur even in a longer period. In this work, we present the results
and peculiarities of the occluder implantation technique only for the ASD with aortic margin
deficiency.
Keywords:atrial septal defect (ASD), x-ray endovascular occlusion, occlusive devices, occluders, pulmonary hypertension
Clin. Experiment. Surg. Petrovsky J. 2018; 1 (19): 39–43.
DOI: 10.24411/2308-1198-2018-00006
Received: 29.12.2017. Accepted: 25.01.2018.
References
1. Belokon N.A., Podzolkov V.P. Congenital heart diseases.Mos-
cow: Meditsina, 1991. (in Russian)
2. Ewert P., Berger F., Daehert I., et al. Transcatheter closure
of atrial septal defects without fluoroscopy. Feasibility of new
method. Circulation. 2000; 101: 847–9.
3. Garcia E., Maroto E., Moreno R., et al. Percutaneous closure of atrial septal defect under intracardiac ultrasound guidance: comparison with procedures guided by transesophageal echocardiography. J Am Coll Cardiol. 2002; 39 (suppl):
405A.