International Journal of General Medicine (Mar 2022)

Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country

  • Bani Hani A,
  • Salhiyyah K,
  • Salameh M,
  • Abu Abeeleh M,
  • Al Smady M,
  • Al Rawashdeh M,
  • Abu Fares H,
  • Al- Ammouri I

Journal volume & issue
Vol. Volume 15
pp. 3517 – 3524

Abstract

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Amjad Bani Hani,1 Kareem Salhiyyah,2 Mohammad Salameh,1 Mahmoud Abu Abeeleh,1 Moaath Al Smady,1 Mohammad Al Rawashdeh,3 Hala Abu Fares,3 Iyad Al- Ammouri3 1Department of General Surgery, Division of Cardiac Surgery, The University of Jordan, Amman, Jordan; 2Department of Cardiac Science, Middle East University, Amman, Jordan; 3Department of Pediatrics, Division of Pediatric Cardiology, The University of Jordan, Amman, JordanCorrespondence: Amjad Bani Hani, Email [email protected]: We aim to report our heart team’s experience in repair of Secundum atrial septal defect (ASD) in adolescent and adult patients at Jordan University Hospital (JUH).Methodology: A retrospective observational study of 44 patients who underwent secundum ASD closure by transcatheter closure (TCC) or Minimally Invasive Cardiac Surgery (MICS) at JUH. Patients who were treated at an age of 14 years or older regardless of the age of diagnosis were included. SPSS and Microsoft Excel were used to analyze the data.Results: A total of 44 patients with secundum ASD were treated during the period of (January 2015 and December 2019). The mean age was 34.1 (± 14.3) years. Thirty-four patients underwent TCC, 9 underwent surgical closure and one had a hybrid procedure. We had no mortality and 2 minor morbidities. After a mean follow-up period of 13.2-/+13.6 months, most patients experienced improved symptoms, and there was a significant reduction of right ventricular dimension from 33.1 (± 8.74) to 24 (± 4.67) mm (p=0.0001).Conclusion: ASD closure whether TCC or MICS is a safe procedure with very low morbidity. A heart team approach is a necessity in the era of advances in both MICS surgery and TCC approach. A heart team provides the patients with a variety of safe and cosmetic solutions that allow the patients to have a fast management and recovery phase in rapid time through providing the merits and avoiding the complications of each modality, the team allows low volume centers in developing countries to achieve an excellent outcome.Keywords: atrial septal defect, ASD closure, heart team

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