Successful intervention in 5 cases of secondary atrial septal defect using percutaneous devices

On May 27, information from Can Tho Central General Hospital said that doctors from the Interventional Cardiology Department had successfully performed the technique of closing secondary atrial septal defects using percutaneous instruments for 5 patients, of which 3 cases had large secondary atrial septal defects. The interventions were performed with the support of experts from Children's Hospital 1, Ho Chi Minh City.

Accordingly, all 5 cases were transferred from the previous level to Can Tho Central General Hospital with a diagnosis of atrial septal defect and are being monitored and treated as outpatients. Among them, patient PVH, 60 years old, residing in Vinh Long province, was admitted to the hospital with a condition of frequent fatigue during exertion. The results of the transthoracic echocardiogram recorded a secondary atrial septal defect measuring 36 mm, shunting from left to right, and increased pulmonary artery pressure (PAPs = 45mmHg).

PVH patient's health is recovering after the intervention

After consultation, the doctors decided to perform percutaneous atrial septal defect closure for the patient with the support of Dr. Do Nguyen Tin, Head of the Interventional Cardiology Unit, Children's Hospital 1. The intervention team measured the size of the hole and used a 38 mm instrument to close the patient's atrial septal defect. The procedure was successful after 30 minutes with the support of transesophageal echocardiography.

Similarly, 4 other patients with atrial septal defect also underwent percutaneous atrial septal defect closure. Currently, 5 patients are in stable health, post-intervention examination showed improved clinical symptoms, and echocardiography results were good.

Image of atrial septal defect closed with percutaneous device

Dr. Tran Van Trieu, Head of Interventional Cardiology, said: Atrial septal defect is a common congenital heart disease. In adults, symptoms that may appear are difficulty breathing during exertion, coughing, palpitations, arrhythmia, etc.

Cardiovascular intervention through catheters is a minimally invasive treatment method, with access usually through the femoral vein without opening the chest. Thereby, interventional instruments are inserted into the heart through catheters, to close the atrial septal defect. Cardiovascular intervention through catheters to treat secondary atrial septal defect compared to the classic surgical treatment method has many advantages such as: Safe and does not require much technical equipment, can be routinely implemented at facilities with cardiac catheterization labs.

In addition, the catheter-based cardiovascular intervention method also reduces trauma, pain, and bleeding, and the patient is completely awake during the procedure; the rate of surgical site infection is minimized. The patient's recovery and hospitalization process is also significantly shortened.

Dr. Trieu also advised that congenital heart disease in general and atrial septal defect in particular in adults are defined as heart defects that occur in the fetus and are present from birth. The disease often progresses silently, so to minimize possible consequences, patients need to be screened and re-examined periodically to detect complications early; especially, they need to strictly follow the doctor's treatment regimen.

Source: https://thanhnien.vn/can-thiep-thanh-cong-5-ca-thong-lien-nhi-thu-phat-bang-dung-cu-qua-da-18524052717472073.htm