DOI: 10.36347/sasjs

Pages: 142-145

The objective of this study is to summarize the clinical experience and efficiency of intraoperative device closure of interatrial septal aneurysm with atrial septal defect (ASD). From April 2012 to October 2014, 4 ASD cases with interatrial septal aneurysm had been completed intraoperative ASD closure. One male and three females were 41-69 years, with height range was 158-174cm. The weight range was 52-67 kg. One patient was suffering from hypertension and atrial fibrillation. Another patient had a stroke. The chest X-ray, echocardiography and electrocardiogram had been performed before the procedure. The details of procedure have been described in literatures. All patients were asked to come back each month in the first 3 months and then once every 3 months. The diameter of defects was 8-13 mm. The diameter of aneurysms was 15-20mm. All patients were closured successfully. None of them needed blood transfusion and suffered from various complications. During a follow-up period of 20 to 50 months, no residual shunt, noticeable mitral regurgitation, significant arrhythmias, thrombosis, or device failure were found. Intraoperative device closure of interatrial septal aneurysm with ASDs achieves satisfied results by reasonable techniques and devices.