tion versus transcatheter closure of ASD before comparisons can he made. The length of stay for patients undergoing transcatheter closure is reported to he 2 to 3 days.1-5y9 In our study, the most recent average length of stay was 6.1 days, hut since this study has ended, the length of stay for ASD operation is ~4 days. Recent reports on transcatheter closure devices do not discuss costs, inclu...

Atrial septal defect (ASD) is characterized by a defect in the interatrial septum allowing pulmonary venous return from the left atrium to pass directly to the right atrium. ASD account for 10% of all congenital heart disease, and as much as 30 % of congenital heart disease presenting in adulthood. There are four types of ASD that can be recognized as the seat of the port: ostium secundum, the ...

A 29-year-old woman was referred to our institute for symptomatic hypoxemia. Her dyspnea was aggravated while sitting or standing and relieved while in supine position. She did not have any pulmonary disease. Transthoracic echocardiography and heart computed tomography revealed an underestimated small atrial septal defect (ASD) with a left-to-right shunt. A cardiac catheterization was performed...

BACKGROUND AND OBJECTIVES The rigid coupling between the delivery wire and the right atrial disk has been occasionally encountered during transcatheter closure of atrial septal defect (ASD). Therefore the device frequently makes a perpendicular angle, and the leading edge of left atrial disk slips through the defect and prolapses into right atrium (RA) before it is properly placed in the septum...

AIMS Echocardiographic speckle tracking or two-dimensional (2D) strain analysis is a new tool to assess myocardial function. This prospective controlled study evaluates systolic right ventricular (RV) function by 2D strain in adult patients with atrial septal defect (ASD) before and 3 months after percutaneous closure. METHODS AND RESULTS Assessment of global longitudinal strain (GLS), global...

Fig. 3: ECG at 50 mm/sec speed showing the notch in R waves in lead 2 A 3 0 y e a r o l d m a n p r e s e n t e d with orthopnoea, palpi tat ion and exerc ise intolerance . He had had recurrent respiratory infections since childhood. However, due to res idence in a remote vi l lage, he had never visited any hospital for these problems. On examination he was found to have raised pulsatile jugula...

INTRODUCTION Transcatheter closure has become the treatment of choice for secundum atrial septal defects (ASD II), but particularly in small children, there is concern regarding procedure-related complications. CASE DESCRIPTION We report on a 10-month-old infant, body weight of 6.4 kg, with a large ASD who was referred for failure to thrive and dyspnea on exertion. Echocardiography showed two...

Background: Atrial septal defect (ASD) is the most common congenital heart disease (CHD) in adults after bicuspid aortic valve. Although the defect is often asymptomatic until adulthood, undetected ASDs could lead to potential irreversible complications like arrhythmias, stroke, pulmonary hypertension and its squeal. The purpose of our study was to determine the value of surgical closure of atr...

Twenty-three consecutive patients with clinical (auscultatory and electrocardiographic) signs of uncomplicated atrial septal defect of secundum or sinus venosus type were examined by chest x-ray, phonocardiography, and echocardiography, before right heart catheterisation. Seventeen (74%) had atrial septal defect, two patients (9%) had insignificant pulmonary stenosis, and four subjects (17%) we...

OBJECTIVE The aim of the retrospective study was to examine the changes in the left and right ventricular size as well as the systolic and diastolic function of the left ventricle after surgical and transcatheter treatment of atrial septal defects with Amplatzer atrial septal defect occluder (ASDO). METHODS Two groups of patients were examined using transthoracic cross-sectional echocardiogra...