Atrial Septal Defect Closure: Indications and Contra-indications

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2018 Oct 12

PMID 30305947

Citations 31

Authors

Alain Fraisse

Monica Latchman

Shiv-Raj Sharma

Selin Bayburt

Pascal Amedro

Giovanni Di Salvo

Alban Elouen Baruteau

Affiliations

Soon will be listed here.

Abstract

Transcatheter closure has become an accepted alternative to surgical repair for ostium secundum atrial septal defects (ASD). However, large ASDs (>38 mm) and defects with deficient rims are usually not offered transcatheter closure but are referred for surgical closure. Transcatheter closure also remains controversial for other complicated ASDs with comorbidities, additional cardiac features and in small children. This article not only provides a comprehensive, up-to-date description of the current indications and contra-indications for ASD device closure, but also further explores the current limits for transcatheter closure in controversial cases. With the devices and technology currently available, several cohort studies have reported successful percutaneous closure in the above-mentioned complex cases. However the feasibility and safety of transcatheter technique needs to be confirmed through larger studies and longer follow-up.

Citing Articles

A Comparison of Long-Term Right Ventricular Functions in Children with Transcatheter and Surgically Closed Secundum Atrial Septal Defects (ASDs): A Strain Echocardiography Study.

Karaca S, Ozbingol D, Karaca Ozer P, Yavuz M, Tansel T, Nisli K Diagnostics (Basel). 2025; 15(5).

PMID: 40075853 PMC: 11898630. DOI: 10.3390/diagnostics15050606.

Percutaneous atrial septal defect closure in limited-resource setting: a decade-long experience from Ethiopia.

Nasir M, Dejene K, Bedru M, Markos S Front Cardiovasc Med. 2025; 12:1550693.

PMID: 40041170 PMC: 11876549. DOI: 10.3389/fcvm.2025.1550693.

Percutaneous management of late occluder dislodgement: A case report.

Beaini H, Aboulhosn J Int J Cardiol Congenit Heart Dis. 2024; 8:100369.

PMID: 39712063 PMC: 11658217. DOI: 10.1016/j.ijcchd.2022.100369.

Genetic Insights into Congenital Cardiac Septal Defects-A Narrative Review.

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Surgical Treatment of Atrial Septal Defects.

Grieshaber P, Jaschinski C, Farag M, Fonseca-Escalante E, Gorenflo M, Karck M Rev Cardiovasc Med. 2024; 25(10):350.

PMID: 39484126 PMC: 11522766. DOI: 10.31083/j.rcm2510350.

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