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
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
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).
References :
- Alobaidan, M., Saleem, A., Abdo, H., & Simpson, J. (2015). Successful percutaneous closure of spiral atrial septal defect. Echo Research and Practice, 2(1), K7-K9. https://doi.org/10.1530/erp-14-0101
- Berger, F., Ewert, P., Bjørnstad, P., Dähnert, I., Krings, G., Brilla-Austenat, I., & Lange, P. (1999). Transcatheter closure as standard treatment for most interatrial defects: experience in 200 patients treated with the amplatzer ™ septal occluder. Cardiology in the Young, 9(5), 468-473. https://doi.org/10.1017/s1047951100005369
- Bradley, E. A., & Zaidi, A. N. (2020). Atrial Septal Defect. Cardiology clinics, 38(3), 317–324. https://doi.org/10.1016/j.ccl.2020.04.001
- Cao, Q. (2000). Transcatheter closure of multiple atrial septal defects. initial results and value of two- and three-dimensional transoesophageal echocardiography. European Heart Journal, 21(11), 941-947. https://doi.org/10.1053/euhj.1999.1909
- Carano, N., Hagler, D., Agnetti, A., & Squarcia, U. (2001). Device closure of fenestrated atrial septal defects: use of a single amplatz atrial septal occluder after balloon atrial septostomy to create a single defect. Catheterization and Cardiovascular Interventions, 52(2), 203-207. https://doi.org/10.1002/1522-726x(200102)52:23.0.co;2-p
- Chiu, S. N., Wu, M. H., Tsai, C. T., Lai, L. P., Lin, J. L., Lin, M. T., Lu, C. W., & Wang, J. K. (2017). Atrial flutter/fibrillation in patients receiving transcatheter closure of atrial septal defect. Journal of the Formosan Medical Association = Taiwan yi zhi, 116(7), 522–528. https://doi.org/10.1016/j.jfma.2016.09.005
- Contractor, T., & Mandapati, R. (2017). Arrhythmias in Patients with Atrial Defects. Cardiac electrophysiology clinics, 9(2), 235–244. https://doi.org/10.1016/j.ccep.2017.02.006
- Demkow, M., Rużyłło, W., Konka, M., Kępka, C., Kowalski, M., Wilczyński, J., & Rydlewska-Sadowska, W. (2001). Transvenous closure of moderate and large secundum atrial septal defects in adults using the amplatzer septal occluder. Catheterization and Cardiovascular Interventions, 52(2), 188-193. https://doi.org/10.1002/1522-726x(200102)52:23.0.co;2-6
- Farhaj, Z., Hongxin, L., Wenbin, G., et al. (2019). Device closure of diverse layout of multi-hole secundum atrial septal defect: different techniques and long-term follow-up. Journal of Cardiothoracic Surgery, 14(1), 130. https://doi.org/10.1186/s13019-019-0952-5
- Gatzoulis, M., Freeman, M., Siu, S., Webb, G., & Harris, L. (1999). Atrial arrhythmia after surgical closure of atrial septal defects in adults. New England Journal of Medicine, 340(11), 839-846. https://doi.org/10.1056/nejm199903183401103
- Gupta, S., Sivasubramonian, S., Sasidharan, B., Tharakan, J., Harikrishnan, S., & Ajit, K. (2011). Trans-catheter closure of atrial septal defect: balloon sizing or no balloon sizing - single centre experience. Annals of Pediatric Cardiology, 4(1), 28. https://doi.org/10.4103/0974-2069.79619
- Gupta, S., Sivasubramonian, S., Sasidharan, B., Tharakan, J., Harikrishnan, S., & Ajit, K. (2011). Trans-catheter closure of atrial septal defect: balloon sizing or no balloon sizing - single centre experience. Annals of Pediatric Cardiology, 4(1), 28. https://doi.org/10.4103/0974-2069.79619.
- Hausdorf, G., Schneider, M., Franzbach, B., Kampmann, C., Kargus, K., & Goeldner, B. (1996). Transcatheter closure of secundum atrial septal defects with the atrial septal defect occlusion system (asdos): initial experience in children.. Heart, 75(1), 83-88. https://doi.org/10.1136/hrt.75.1.83
- Jung, S. Y., & Choi, J. Y. (2018). Transcatheter closure of atrial septal defect: principles and available devices. Journal of thoracic disease, 10(Suppl 24), S2909–S2922. https://doi.org/10.21037/jtd.2018.02.19
- Kuijpers, J. M., Mulder, B. J., & Bouma, B. J. (2015). Secundum atrial septal defect in adults: a practical review and recent developments. Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 23(4), 205–211. https://doi.org/10.1007/s12471-015-0663-z
- Le Gloan, L., Legendre, A., Iserin, L., & Ladouceur, M. (2018). Pathophysiology and natural history of atrial septal defect. Journal of thoracic disease, 10(Suppl 24), S2854–S2863. https://doi.org/10.21037/jtd.2018.02.80
- Mitchell, A., Roberts, P., Eichhöfer, J., Timperley, J., & Ormerod, O. (2004). Echocardiographic assessment and percutaneous closure of multiple atrial septal defects. Cardiovascular Ultrasound, 2(1). https://doi.org/10.1186/1476-7120-2-9
- Pinto, N., Weinberg, P., & Rome, J. (2007). Membranous remnant of left venous valve of inferior vena cava: implications for device closure of atrial septal defects. Catheterization and Cardiovascular Interventions, 69(5), 732-734. https://doi.org/10.1002/ccd.21066
- Sanjuelo, A., Barbur, M., Martínez-Ávila, M., & García‐Dominguez, J. (2022). Late infective endocarditis associated with an atrial septal defect occluder device. European Journal of Case Reports in Internal Medicine. https://doi.org/10.12890/2022_003238
- Varma, C., Benson, L., Silversides, C., Yip, J., Warr, M., Webb, G., & McLaughlin, P. (2003). Outcomes and alternative techniques for device closure of the large secundum atrial septal defect. Catheterization and Cardiovascular Interventions, 61(1), 131-139. https://doi.org/10.1002/ccd.10700
- Vecht, J. A., Saso, S., Rao, C., Dimopoulos, K., Grapsa, J., Terracciano, C. M., Peters, N. S., Nihoyannopoulos, P., Holmes, E., Gatzoulis, M. A., & Athanasiou, T. (2010). Atrial septal defect closure is associated with a reduced prevalence of atrial tachyarrhythmia in the short to medium term: a systematic review and meta-analysis. Heart (British Cardiac Society), 96(22), 1789–1797. https://doi.org/10.1136/hrt.2010.204933.
- Wahl, A., Windecker, S., Misteli, M., & Meier, B. (2001). Combined percutaneous pulmonary valvuloplasty and atrial septal defect closure for pulmonary valvular stenosis and associated secundum atrial septal defect in an adult. Catheterization and Cardiovascular Interventions, 53(1), 68-70. https://doi.org/10.1002/ccd.1132
- Wei, J., Hsiung, M., Tsai, S., Yin, W., Ou, C., Dönmez, C., & Nanda, N. (2012). Atrial septal occluder device embolization to an iliac artery: a case highlighting the utility of three‐dimensional transesophageal echocardiography during percutaneous closure. Echocardiography, 29(9), 1128-1131. https://doi.org/10.1111/j.1540-8175.2012.01793.x
- Williams, M. R., & Perry, J. C. (2018). Arrhythmias and conduction disorders associated with atrial septal defects. Journal of thoracic disease, 10(Suppl 24), S2940–S2944. https://doi.org/10.21037/jtd.2018.08.27.
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).