BACKGROUND The purpose of this study was to outline the midterm follow-up results and complications in patients who underwent transthoracic device closure of an atrial septal defect (ASD) with the very large domestic occluder (44-48 mm). METHODS The data of 35 patients who underwent transthoracic device closure of an ASD with the very large domestic occluder (44-48 mm) at our institution were...

We report the management of a patient with secundum atrial septal defect (ASD) and severe pulmonary hypertension. A 65-year-old male with recently diagnosed atrial septal defect was referred to our centre for decompensated right heart failure with rest and exercise induced dispnea and severe pulmonary hypertension. Right heart catheterization confirmed a mean pulmonary pressure of about 55 mmHg...

OBJECTIVE To examine the incidence of raised pulmonary artery pressure and resistance in adults with isolated atrial septal defect within the oval fossa (so called secundum defect) or sinus venosus defect. DESIGN A historical, retrospective, unrandomised study. SETTING A tertiary referral centre. METHODS Cardiac catheterisation was performed in all patients, with measurement of pulmonary ...

Figure 1. Transthoracic four-chamber view (A) showing interatrial septal aneurysm (arrow) extending to the right ventricular inflow and left-to-right shunt (dotted arrow) with color Doppler (B). Transesophageal four-chamber (C) and short-axis (D) views showing huge interatrial septal aneurysm (asterisks). Multiple atrial septal defects (yellow arrows) were seen with color Doppler on four-chambe...

Gluteal muscle contracture (GMC), presented with hip abduction and external rotation when crouching, is common in several ethnicities, particularly in Chinese. It remains unclear that the reasons why these children are weak and have no choice to accept repeated intramuscular injection. Here, we found some unique cases which may be useful to explain this question. We describe a series of special...

conclusions we found that ei and qp/qs ratio are significantly and positively associated and qp/qs ratio can be easily estimated by measuring ei in secundum type asd patients. background one of the inclusion criteria for applying atrial septal defect (asd) closing procedure is an increased pulmonary-to-systemic blood flow ratio (qp/qs). eccentricity index (ei) is associated with ventricular dys...

atrial septal defect (asd) is a common congenital anomaly that has low surgical mortality and morbidity. we report a very rare case of a low-lying asd, combined with the drainage of the inferior vena cava and the left superior vena cava into the left atrium. this combination was associated with an unroofed coronary sinus. we also describe an iatrogenic surgical diversion of the inferior vena ca...

OBJECTIVE In this study, we tested 3 techniques of atrial septal defect closure under real-time 3-dimensional echocardiography guidance in a swine model. METHODS The operations were conducted under the sole guidance of a modified real-time 3-dimensional echocardiography guidance system with a x4 matrix transducer (Sonos 7500, Philips Medical Systems, Andover, Mass). Eighteen swine were anesth...

this article aim is to introduce a case of papvc (partial anomalous pulmonary venous connection). the patient was a 25-year-old women who had dyspnea and palpitation. she expressed no special disease, no past medical history, and no drug usage, but her brother and her aunt had the above-mentioned history. in the physical examination, lungs were clear and the heart had s2 splitting, and there wa...

Three patients over 70 years of age underwent surgical repair of secundum atrial septal defect (ASD). All patients had preoperative symptoms such as heart failure, atrial fibrillation and cardiomegaly. According to the New York Heart Association (NYHA) functional classification, two patients belonged to class II and one class III. Cardiac catheterization data revealed mild pulmonary hypertensio...