THE TRANSCATHETER CORRECTION OF THE ANEURYZM OF ATRIAL SEPTAL WITH ASD
DOI:
https://doi.org/10.54890/.v6i6.922Abstract
The aim of the study was to present the results and to develop tactics of transcatheter correction for patients with aneurysm of atrial septal. The transcatheter correction was done for 21 patients. The age of the patients was from 4 to 46 years. According to Echocardiography the length of ASD was 19,9+-1,3mm(from 8 to 28,9 mm), and its size to atrial septal was 0,46+-0,04. The total size of defects in the aneurysm was 11,3+-1,4 mm( from 3 to 26 mm), and the stretch diameter of the largest defect was 12,9+-1,6 mm( from 4 to 24 mm). The size of occluders were from 6 to 35 mm, average 20,5+-1,8 mm, with length of atrial septal 12,9 +-1,6 mm (from 27,4 to 51,8 mm). The occluder type was determined according to the classification of P.Ewert and coauth., and also according to the defect size, the aneuryzm of atrial septal and its bulging. All cases of transcatheter correction were adequate without complications. So, the presice assessment of anatomic features of atrial septal by ECHO with determination the size of aneurysm and its bulging amplitude is nessessary for adequate transcatheter correction of complex formation anomalies.
Keywords:
жүрөк дүлөйчөлөрүнүн ортосундагы тосмодогу аневризма, жүрөк дүлөйчөлөрүнүн ортосундагы тосмодогу көп деффектүүлүк, транскатетердик түздөө, Amplatzer окклюдери.References
1. Алекян Б.Г. Транскатетерное закрытие дефекта межпредсердной перегородки с использованием Amplatzer Septal Occluder / Под ред. Л.А. Бокерия, Б.Г. Алекян, В.П. Подзолков // Эндоваскулярная и минимально инвазивная хирургия сердца и сосудов у детей. - М.: Медицина, 1999. – Гл. 13 – С.226-231.
2. Машура Й. Эндоваскулярная коррекция врожденных патологических сообщений между камерами сердца окклюдерами системы Amplatzer / Й. Машура // Международный журнал интервенционной кардиоангиологии. - 2006. - № 11. - С. 11-20.
3. Ткачева А. Н. Диагностика и эндоваскулярное закрытие вторичного дефекта межпредсердной перегородки устройством Amplatzer / А. Н. Ткачева: Дис… канд. мед. наук. – Москва, 2008.
4. Усупбаева Д.А. Вторичный дефект межпредсердной перегородки: Выбор метода лечения / Д.А.Усупбаева, М.Х. Дадабаев, Е.Ю. Богданова и др // Кардиология СНГ. – 2005. –Т. 3, № 1. - С. 45-55.
5. Усупбаева Д.А. Эхокардиографическая семиотика вторичного дефекта межпредсердной перегородки и результаты транскатетерной коррекции окклюдером Amplatzer / Д.А. Усупбаева: Дис. д-ра мед. наук. - Бишкек, 2007.
6. Agmon Y. Frequency of atrial septal aneurysms in patients with cerebral ischemic events / Y. Agmon, B. Khandheira, I. Meissner et al // Circulation. – 1999. –Vol.99, № 15. –Р. 1942-1944.
7. Ahn. E. Early morphological changes of an Amplatzer Septal Occluder explanted at heart transplant / E. Ahn, A. Luk, M. Mezody et al // Cardiovasc Pathol. -2009. - Vol. 18, № 1. –Р. 57-60.
8. Awad S.M. Multiple Amplatzer septal occluder devices for multiple atrial communications: immediate and long-term follow-up results / S.M. Awad, F.F. Garay, Cao Q.L. et al // Catheter Cardiovasc Interv. – 2007. -Vol. 70, № 2. - P. 265-273.
9. Baysal K. Atrial septal aneurysm in children / K. Baysal, N. Belet, F. Kolbakir et al // Turk J Pediatr. – 2001. – Vol.43, №4. –Р. 293-297.
10. Bertrand T. Device Closure of Fenestrated Atrial Septal Aneurysm: Difficulties and Complications with Implantation of Two Devices / T. Bertrand, J. Donald // J. of Invas. Cardiol. – 2004. – Vol.16, № 9. – Р.532 – 534.
11. Cao Q. Transcatheter closure of multiple atrial septal defects. Initial results and value of two- and three-dimensional transoesophageal echo-cardiography / Q. Cao, W. Radtke, F. Berger et al // Eur Heart J. – 2000. –Vol. 21, №6. –P. 941–947.
12. Carano N. Device closure of fenestrated atrial septal defect: Use of a single Amplatz atrial occluder after balloon atrial septostomy to create a single defect / N. Carano, D. Hagler, A. Agnetti et al // Cathet Cardiovasc Interven. – 2001. –Vol.53, № 11 –P. 203–207.
13. Ewert Р. Morphology of perforated atrial septal aneurysm suitable for closure by transcatheter device placement / Р. Ewert, F. Berger, M. Vogel et al // Heart. – 2000. –Vol.84, № 4. –Р. 327-331.
14. Ewert P. Feasibility of transcatheter closure of multiple defects within the oval fossa / P. Ewert, F. Berger, O. Kretschmar, H. Abdul-Khaliq et al // Cardiol Young 2001. –Vol.11, № 3. – Р. 314-319.
15. Hanley P.C. Diagnosis and classification of atrial septal aneurysms by two dimensional echocardiography: report of 80 consecutive cases / P.C. Hanley, A.J. Tajik, J.K. Haynes et al // J Am Coll Cardiol. – 1985. –Vol.6, №3. – Р.1370-1382.
16. Masura J. Long-term outcome of transcatheter secundum-type atrial septal defect closure using Amplatzer septal occluders / J. Masura, P. Gavora, T. Podnar // J Am Coll Cardiol. - 2005. –Vol. 45, № 5. – P. 505-507.
17. Mazic U. Percutaneous closure of secundum - type atrial septal defects using Amplatzer Septal Occluders / U. Mazic, P. Berden, T. Podnar // ZDRAV VESTN. – 2003. –Vol.72, № 1-2. – Р.1-6.
18. Meyer R. Long-term follow-up study after closure of secundum atrial septal defect in children: an echocardiographic study / R. Meyer, J. Korfhagen, W. Covitz et al. // Am J Cardiol. – 1982. –Vol.50, №9. –Р.143–148.
19. Numan. M. Cribriform Amplatzer Device Closure of Fenestrated Atrial Septal Defects: Feasibility and Technical Aspects / M. Numan., A. El Sisi., M. Tofeig et al // Pediatric Cardiology. - 2008. - Vol. 29, № 3. – P. 530-535.
20. Jacquemin L. Feasibility and results of transcatheter treatment of patent foramen ovale associated with atrial septal aneurysm / L. Jacquemin, D. Kenizou, B Mettauer et al // Annales de Cardiologie & d'Angeiologie. -2007. - Vol. 56, №5. – Р. 201-207.
21. Olivares-Reyes A. Atrial septal aneurysm: a new classification in two hundred five adults / A. Olivares-Reyes, S. Chan, E. Lazar et al // J Am Soc Echocardiogr. – 1997. –Vol.10, № 6. – Р. 644-656.
22. Wahl A. Transcatheter Treatment of Atrial Septal Aneurysm Associated With Patent Foramen Ovale for Prevention of Recurrent Paradoxical Embolism in High-Risk Patients / A. Wahl, U. Krumsdorf, B. Meier // JACC. – 2005. - Vol. 45, №3. –Р. 377–380.
Downloads
Published
How to Cite
Issue
Section
