Diagnosis and management of residual atrial septal defect after surgical failure: A case series
Residual defect after surgical closure of atrial septal defect is extremely uncommon. This communication reports four cases encountered in a tertiary care center during the last three decades. Clinical diagnosis was challenging, and the diverse presentations included acute ischemic stroke, cyanosis,...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Annals of Pediatric Cardiology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/apc.apc_151_24 |
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| _version_ | 1841554796626051072 |
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| author | Satyavan Sharma Akash Bhupesh Shah Shankar Y. Machigar Rajendra Umbarkar |
| author_facet | Satyavan Sharma Akash Bhupesh Shah Shankar Y. Machigar Rajendra Umbarkar |
| author_sort | Satyavan Sharma |
| collection | DOAJ |
| description | Residual defect after surgical closure of atrial septal defect is extremely uncommon. This communication reports four cases encountered in a tertiary care center during the last three decades. Clinical diagnosis was challenging, and the diverse presentations included acute ischemic stroke, cyanosis, and right ventricular volume overload. The morphology of the residual defects was complex, and multimodality imaging (transesophageal echocardiography, peripheral venous contrast studies, computed tomography, and balloon occlusion) enabled accurate recognition. Percutaneous device closure was feasible in one but required repeat surgery owing to unfavorable anatomy in the others. The communication focuses on difficulties in diagnosis and management. |
| format | Article |
| id | doaj-art-a0cc24487671453fb4707674787f199b |
| institution | Kabale University |
| issn | 0974-2069 0974-5149 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj-art-a0cc24487671453fb4707674787f199b2025-01-08T09:25:49ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20690974-51492024-12-0117535636010.4103/apc.apc_151_24Diagnosis and management of residual atrial septal defect after surgical failure: A case seriesSatyavan SharmaAkash Bhupesh ShahShankar Y. MachigarRajendra UmbarkarResidual defect after surgical closure of atrial septal defect is extremely uncommon. This communication reports four cases encountered in a tertiary care center during the last three decades. Clinical diagnosis was challenging, and the diverse presentations included acute ischemic stroke, cyanosis, and right ventricular volume overload. The morphology of the residual defects was complex, and multimodality imaging (transesophageal echocardiography, peripheral venous contrast studies, computed tomography, and balloon occlusion) enabled accurate recognition. Percutaneous device closure was feasible in one but required repeat surgery owing to unfavorable anatomy in the others. The communication focuses on difficulties in diagnosis and management.https://journals.lww.com/10.4103/apc.apc_151_24device closurefailure of atrial septal defect surgerymultimodality imaging for diagnosisresidual atrial septal defect following surgery |
| spellingShingle | Satyavan Sharma Akash Bhupesh Shah Shankar Y. Machigar Rajendra Umbarkar Diagnosis and management of residual atrial septal defect after surgical failure: A case series Annals of Pediatric Cardiology device closure failure of atrial septal defect surgery multimodality imaging for diagnosis residual atrial septal defect following surgery |
| title | Diagnosis and management of residual atrial septal defect after surgical failure: A case series |
| title_full | Diagnosis and management of residual atrial septal defect after surgical failure: A case series |
| title_fullStr | Diagnosis and management of residual atrial septal defect after surgical failure: A case series |
| title_full_unstemmed | Diagnosis and management of residual atrial septal defect after surgical failure: A case series |
| title_short | Diagnosis and management of residual atrial septal defect after surgical failure: A case series |
| title_sort | diagnosis and management of residual atrial septal defect after surgical failure a case series |
| topic | device closure failure of atrial septal defect surgery multimodality imaging for diagnosis residual atrial septal defect following surgery |
| url | https://journals.lww.com/10.4103/apc.apc_151_24 |
| work_keys_str_mv | AT satyavansharma diagnosisandmanagementofresidualatrialseptaldefectaftersurgicalfailureacaseseries AT akashbhupeshshah diagnosisandmanagementofresidualatrialseptaldefectaftersurgicalfailureacaseseries AT shankarymachigar diagnosisandmanagementofresidualatrialseptaldefectaftersurgicalfailureacaseseries AT rajendraumbarkar diagnosisandmanagementofresidualatrialseptaldefectaftersurgicalfailureacaseseries |