Repair of Atrial Septal Defect at Lampang Regional Hospital
Keywords:
Atrial septal defect, ASD secundum, repair of atrial septal defect, beating heart repair atrial septal defectAbstract
Objectives: We would like to present our experience in repairing all types of atrial septal defect at LampangRegional Hospital. In this study we also report the results of conventional and on-pump beating heart technique.
Methods: From January 2010 to April 2015, 124 patients underwent atrial septal defect closure. There were
91 females and 33 males, with mean age 36.2 (range, 3 months-75 years).
Results: The operation was performed with conventional technique in 45 patients compared to beating heart
in 79 patients. The mean cardiopulmonary bypass time was 41.15 minutes in patients with conventional closure
technique without tricuspid valve repair and 32.55 minutes in patients with beating heart closure technique without
tricuspid valve repair. There was no death, no stroke and no residual shunt in all patients. The mean ICU stay was
less than 24 hours in all patients.
Conclusion: Repair of atrial septal defect at Lampang Regional Hospital is safe with no stroke or death. Repair
of atrial septal defect secundum type with beating heart under cardiopulmonary bypass technique is an alternative
technique that is also safe and can avoid ischemic-reperfusion injury.
References
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Tomar A, et al. Repair of atrial septal defects on the perfused
beating heart. Tex Heart Inst J 2009;36:425-7.
2. Ak K, Aybek T, Wimmer-Greinecker G, Ozaslan F, Bakhtiary
F, Moritz A, et al. Evolution of surgical techniques for atrial
septal defect repair in adults: a 10-year single-institution
experience. J Thorac Cardiovasc Surg 2007;134:757-64.
3. Weman SM, Karhunen PJ, Penttila A, Jarvinen AA, Salminen
US. Reperfusion injury associated with one-fourth of deaths
after coronary artery bypass grafting. Ann Thorac Surg 2000;
70:807-12.
4. Hopkins RA, Bert AA, Buchholz B, Guarino K, Meyers M.
Surgical patch closure of atrial septal defects. Ann Thorac
Surg 2004;77:2144-50.
5. Chaudhuri K, Marasco SF. The effect of carbon dioxide
insufflation on cognitive function during cardiac surgery. J
Card Surg 2011;26:189-96.
Tomar A, et al. Repair of atrial septal defects on the perfused
beating heart. Tex Heart Inst J 2009;36:425-7.
2. Ak K, Aybek T, Wimmer-Greinecker G, Ozaslan F, Bakhtiary
F, Moritz A, et al. Evolution of surgical techniques for atrial
septal defect repair in adults: a 10-year single-institution
experience. J Thorac Cardiovasc Surg 2007;134:757-64.
3. Weman SM, Karhunen PJ, Penttila A, Jarvinen AA, Salminen
US. Reperfusion injury associated with one-fourth of deaths
after coronary artery bypass grafting. Ann Thorac Surg 2000;
70:807-12.
4. Hopkins RA, Bert AA, Buchholz B, Guarino K, Meyers M.
Surgical patch closure of atrial septal defects. Ann Thorac
Surg 2004;77:2144-50.
5. Chaudhuri K, Marasco SF. The effect of carbon dioxide
insufflation on cognitive function during cardiac surgery. J
Card Surg 2011;26:189-96.
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Published
2015-12-30
How to Cite
1.
Cheewinmethasiri J, Chartrungsan A, Sakboon B, Arayawudhikul N. Repair of Atrial Septal Defect at Lampang Regional Hospital. Thai J Surg [Internet]. 2015 Dec. 30 [cited 2024 May 7];36(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226066
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