Fresh Autolog Pericardial Patch Closure in Secundum Atrial Septal Defect

Abstract

INTRODUCTION: Fresh autolog pericardium is often used as a patch material first to close secundum atrial septal defect (ASD) and various operations in heart surgery. Several authors suggest that fixing pericard with glutaraldehyde for stiffener and use. In this retrospective study, fresh pericardial patch used patients for close secundum ASD, fibrosis, calcification or aneurysmal developments were studied. METHODS: Fifteen patients, who closed secundum ASD between 2009-2013 were included in the study. All operations were made under cardiopulmonary bypass. Fresh autolog pericardial patch was used in ASD operations. Fat tissue on pericardium was stripped with wet gauze. After surgery, all patients were followed up with echocardiography at intervals within a year. RESULTS: Patients were 5 men and 10 women. The mean age was 16,7 years (range, 3-68 years). According to ASD types; of the ASD cases, three were inferior caval type, two superior caval type, 10 sinus venosus type. There was any aneurysmal dilatation, calcification or leakage on follow up. DISCUSSION AND CONCLUSION: The use of fresh autolog pericardium is a safe method of surgical ASD closure. In secundum ASD closure using glutaraldehyde fixation on pericardial patch it is not required.

Keywords

• cardiac septal defect
• atrium
• pericardial patch.