Percutaneous repair of sinus venosus ASD: the end of congenital cardiac surgery?

EuroIntervention 2018;14:843-845. DOI: 10.4244/EIJV14I8A150

Aleksander Kempny
Aleksander Kempny1,2*, MD, PhD; Michael A. Gatzoulis1,2, MD, PhD, FACC
1. Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, United Kingdom; 2. National Heart and Lung Institute, Imperial College School of Medicine, London, United Kingdom

Atrial septal defect (ASD) is one of the most common congenital heart defects with a prevalence of isolated defect ranging from 0.5 to 2.5 cases per 1,000 live births1. The direction and volume of the resulting shunt depend on the size of the defect, its type, and on the pressures in the right and left atrium. These, in turn, depend on the function of the left and right atrioventricular valve and on the diastolic properties of both ventricles. In most patients with isolated ASD and without pulmonary hypertension (PH), there is a left to right shunt. Over time, the additional volume load ...

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