Open AccessHybrid closure of atrial septal defect: A modified approach
Author(s) -
Kshitij Sheth,
Shreepal Jain,
Sanmukh R Joshi,
Bharat Dalvi
Publication year - 2015
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.149530
Subject(s) - medicine , septum secundum , ductus arteriosus , shunt (medical) , asymptomatic , cardiopulmonary bypass , thoracotomy , heart septal defect , closure (psychology) , cardiology , surgery , market economy , economics
A 3.5-year-old girl underwent transcatheter closure of patent ductus arteriosus in early infancy during which time her secundum atrial septal defect (ASD) was left alone. When she came for elective closure of ASD, she was found to have bilaterally blocked femoral veins. The defect was successfully closed with an Amplatzer septal occluder (ASO; St. Jude Medical, Plymouth, MN, USA) using a hybrid approach via a sub-mammary mini-thoracotomy incision without using cardiopulmonary bypass. At the end of 1-year follow-up, the child is asymptomatic with device in a stable position without any residual shunt.