Document Detail


Percutaneous closure of interatrial defects: the Free State experience.
MedLine Citation:
PMID:  14997234     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Atrial septal defects and patent foramen ovale can now be closed percutaneously. This report describes our initial and follow-up experience, especially in relation to efficacy and complications.
METHODS: During a 2-year period, seven atrial septal defects and one patent foramen ovale were closed. The Amplatzer artrial septal defect occluder was used in five, the Cardioseal device in two and the Amplatzer patent foramen ovale occluder in one. A compliant sizing balloon was used to assess the stretched diameter of the defects.
RESULTS: Percutaneous closure was successful in all patients. The median age was 5.4 years (range: 3.7-16.6 years) and median weight was 18 kg (range: 14-65 kg). The mean duration of the procedure was 2.3 hours. There were no acute complications. Patients were followed up for a mean of 1.1 years. One child experienced severe headaches and another developed an atrial flutter and a small leak 7 months after implantation, both of which resolved.
CONCLUSIONS: Percutaneous closure of atrial septal defects and patent foramen ovale is effective and safe. In selected children, this may be offered as an alternative to surgery.
Authors:
S C Brown; A D Bruwer; J Harrisberg; K Govendrageloo
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cardiovascular journal of South Africa : official journal for Southern Africa Cardiac Society [and] South African Society of Cardiac Practitioners     Volume:  15     ISSN:  -     ISO Abbreviation:  Cardiovasc J S Afr     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-03-03     Completed Date:  2004-12-23     Revised Date:  2014-01-13    
Medline Journal Info:
Nlm Unique ID:  100964061     Medline TA:  Cardiovasc J S Afr     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  28-31     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Balloon Occlusion* / instrumentation
Child
Child, Preschool
Echocardiography
Echocardiography, Transesophageal
Equipment Design
Equipment Safety
Follow-Up Studies
Heart Atria / abnormalities,  surgery,  ultrasonography
Heart Septal Defects, Atrial / surgery*,  ultrasonography
Humans
Middle Aged
Postoperative Complications / etiology
South Africa
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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