Surgical closure of atrial septal defect after the failure of occlusion therapy via non-cardiopulmonary bypass minimally invasive intercostal incision
ZHENG Tie
GUO Ke-quan
WANG Jian-gang
MENG Xu
Abstract：Objective To assess the therapeutic methods and results of surgical closure of atrial septal defect (ASD) after the failure of occlusion therapy via non-cardiopulmonary bypass (CPB)-minimally invasive intercostal incision (MⅢ). Methods From January 2008 to December 2008, twelve patients from 268 patients underwent occlusion therapy via non-CPB- MⅢ, were performed surgical closure of ASD after the failure of occusion. The causes accounting for the transition consist of introoperative or postoperative dislodgment of occusion device in 6 cases and 1 case respectively, infeasibility in 3 cases, Ⅲ °atrio-ventricular block (AVB) in 1 case and residual shunt in 1 case. All patients underwent the removal of occlusion device and surgical closure of ASD. Results The mean stretched diameter of the ASD (28.6 ± 6.2 mm) was significantly larger ( P ＜ 0.01 ) than that measured by transesophageal echocardiography (TEE) (24.3 ±4.1 mm). The pathological type of ASD was confirmed with the inferior vena cava type in 4 cases of introoperative dislodgment of occusion device, the central tyepe in 2 cases and 1 case of introoperative or postoperative dislodgment repectively, the sieve pore type in 1 cases infeasible to occlusion, and with thin marginal tissue in 1 case with residual shunt. Sinus rhythm was postoperatively observed in all patients. No perioperative mortality and postoperative residual shunt was found. Conclusion Surgical treatment should be performed in time after the failure of occlusion to achieve a good outcome.
Keywords：Atrial septal defectMinimally invasive intercostal incisionOcclusion therapyCardiac surgical closure
Publication Date：2010-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)