Authors : Anugerah Ikhlas Riansyah Paputungan; Andi Alief Utama Armyn; Yulius Patimang

Volume/Issue : Volume 9 - 2024, Issue 5 - May

Google Scholar : https://tinyurl.com/23498tww

Scribd : https://tinyurl.com/mw9sx2w7

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAY655

Abstract : This study discusses the case of a 23-year-old male with multiple atrial septal defect (ASD) secundum and atrial flutter who underwent ASD closure using device closure with satisfactory results. The patient recovered successfully and was discharged in good condition. ASD is a congenital heart disease often encountered in adulthood, with various types based on the location of the defect. Device closure of ASDs is one method to address abnormal blood flow, which can also reduce the risk of atrial arrhythmias through a negative remodeling process in the atria and ventricles. ASD closure in cases with multiple ASDs requires special consideration regarding the size, morphology, and distance between defects. Atrial flutter in ASD patients can be resolved with transcatheter ablation. Other studies have shown that device closure of ASDs is associated with a reduced prevalence of atrial tachyarrhythmia in the short to medium term, although atrial flutter/fibrillation and other arrhythmias are common in patients undergoing transcatheter ASD closure. Arrhythmias and conduction disturbances are also associated with ASD.

Keywords : Atrial Septal Defect (ASD); Device Closure; Multiple ASD Secundum; Atrial Flutter; Transesophageal Echocardiography (TEE).

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