Mailing Address: Simone Rolim F. Fontes Pedra • – Av. Dr. Dante Pazzanese, 500 – 14o 04012-180 São Paulo, SP Brazil E-mail: [email protected] Received on 10/08/04 • Accepted on 03/30/05 In the last few years, percutaneous treatment of atrial and ventricular septal defects has developed signifi cantly, having been established as a feasible, safe and effective therapeutic modality. Echocardiogra...

One thousand sixty-six patients with ventricular septal defect were followed. Spontaneous closure occurred in 71%, whereas 5% needed operative closure and 2.3% died.

Arterial switch operation for transposition of the great arteries without ventricular septal defect usually does not lead to atrio-ventricular conduction disturbances. We discuss the case of a young boy presenting with first and second degree supra hisian atrio-ventricular block late after switch operation.

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Under a new name (the ’one-and-half patch’ technique) [1], the authors describe an intermediate technique (between those described at 1 and 2, below) for the surgical treatment of complete atrio-ventricular canal (CAVC) or atrio-ventricular septal defect (AVSD)—with a patch under the superior bridging leaflet (SBL) and direct attachment to the ventricular crest of the defect under the inferior ...

Doppler–Imaged Flow Convergence Region: Limitations To the Editor: I would like to congratulate Ishii et al1 for a very interesting study in the February 6, 2001, issue of Circulation on the use of 3D reconstruction of the color Doppler–imaged flow convergence region in ventricular septal defects. Their study, however, fails to mention 2 significant limitations of the flow convergence method. F...

Transcatheter closure of interatrial septal defects is guided by transesophageal echocardiography (TEE), which requires general anesthesia in most cases. Using a new intracardiac echocardiographic (ICE) catheter may avoid endotracheal and esophageal intubation while using only local anesthesia. Forty-two patients underwent transcatheter interatrial septal defect closure; half of them underwent ...

We report the case of an elite male, East African endurance runner (18 years old) who ranked in the top 15 in the World Cross Country Championships (sub 21 year old category) despite having a ventricular septal defect (VSD; width: 0.22 cm) that was diagnosed 2 weeks after this event with echocardiographic evaluation. This athlete was a moderate altitude native ( approximately 3000 m). Cardiac d...

Minimally invasive atrial septal defect (ASD) closure is a commonly performed cardiac surgical procedure and has good outcome. We report an interesting chest X-ray showing pneumopericardium in a patient who underwent ASD closure using a minimally invasive approach.

A patient presenting with a history of palpitation and exertional dyspnea was initially diagnosed with two separate secundum-type atrial septal defects by transesophageal echocardiography. Subsequent transesophageal echocardiography, after failure of closure with two separate closure devices, showed another defect and an ongoing left to right shunt. During surgery, more defects were observed. T...