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Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country

OBJECTIVE: We aim to report our heart team's experience in repair of Secundum atrial septal defect (ASD) in adolescent and adult patients at Jordan University Hospital (JUH). METHODOLOGY: A retrospective observational study of 44 patients who underwent secundum ASD closure by transcatheter clos...

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Autores principales: Bani Hani, Amjad, Salhiyyah, Kareem, Salameh, Mohammad, Abu Abeeleh, Mahmoud, Al Smady, Moaath, Al Rawashdeh, Mohammad, Abu Fares, Hala, Al- Ammouri, Iyad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979831/
https://www.ncbi.nlm.nih.gov/pubmed/35392029
http://dx.doi.org/10.2147/IJGM.S356502
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author Bani Hani, Amjad
Salhiyyah, Kareem
Salameh, Mohammad
Abu Abeeleh, Mahmoud
Al Smady, Moaath
Al Rawashdeh, Mohammad
Abu Fares, Hala
Al- Ammouri, Iyad
author_facet Bani Hani, Amjad
Salhiyyah, Kareem
Salameh, Mohammad
Abu Abeeleh, Mahmoud
Al Smady, Moaath
Al Rawashdeh, Mohammad
Abu Fares, Hala
Al- Ammouri, Iyad
author_sort Bani Hani, Amjad
collection PubMed
description OBJECTIVE: We aim to report our heart team's experience in repair of Secundum atrial septal defect (ASD) in adolescent and adult patients at Jordan University Hospital (JUH). METHODOLOGY: A retrospective observational study of 44 patients who underwent secundum ASD closure by transcatheter closure (TCC) or Minimally Invasive Cardiac Surgery (MICS) at JUH. Patients who were treated at an age of 14 years or older regardless of the age of diagnosis were included. SPSS and Microsoft Excel were used to analyze the data. RESULTS: A total of 44 patients with secundum ASD were treated during the period of (January 2015 and December 2019). The mean age was 34.1 (±14.3) years. Thirty-four patients underwent TCC, 9 underwent surgical closure and one had a hybrid procedure. We had no mortality and 2 minor morbidities. After a mean follow-up period of 13.2-/+13.6 months, most patients experienced improved symptoms, and there was a significant reduction of right ventricular dimension from 33.1 (±8.74) to 24 (±4.67) mm (p=0.0001). CONCLUSION: ASD closure whether TCC or MICS is a safe procedure with very low morbidity. A heart team approach is a necessity in the era of advances in both MICS surgery and TCC approach. A heart team provides the patients with a variety of safe and cosmetic solutions that allow the patients to have a fast management and recovery phase in rapid time through providing the merits and avoiding the complications of each modality, the team allows low volume centers in developing countries to achieve an excellent outcome.
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spelling pubmed-89798312022-04-06 Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country Bani Hani, Amjad Salhiyyah, Kareem Salameh, Mohammad Abu Abeeleh, Mahmoud Al Smady, Moaath Al Rawashdeh, Mohammad Abu Fares, Hala Al- Ammouri, Iyad Int J Gen Med Original Research OBJECTIVE: We aim to report our heart team's experience in repair of Secundum atrial septal defect (ASD) in adolescent and adult patients at Jordan University Hospital (JUH). METHODOLOGY: A retrospective observational study of 44 patients who underwent secundum ASD closure by transcatheter closure (TCC) or Minimally Invasive Cardiac Surgery (MICS) at JUH. Patients who were treated at an age of 14 years or older regardless of the age of diagnosis were included. SPSS and Microsoft Excel were used to analyze the data. RESULTS: A total of 44 patients with secundum ASD were treated during the period of (January 2015 and December 2019). The mean age was 34.1 (±14.3) years. Thirty-four patients underwent TCC, 9 underwent surgical closure and one had a hybrid procedure. We had no mortality and 2 minor morbidities. After a mean follow-up period of 13.2-/+13.6 months, most patients experienced improved symptoms, and there was a significant reduction of right ventricular dimension from 33.1 (±8.74) to 24 (±4.67) mm (p=0.0001). CONCLUSION: ASD closure whether TCC or MICS is a safe procedure with very low morbidity. A heart team approach is a necessity in the era of advances in both MICS surgery and TCC approach. A heart team provides the patients with a variety of safe and cosmetic solutions that allow the patients to have a fast management and recovery phase in rapid time through providing the merits and avoiding the complications of each modality, the team allows low volume centers in developing countries to achieve an excellent outcome. Dove 2022-03-30 /pmc/articles/PMC8979831/ /pubmed/35392029 http://dx.doi.org/10.2147/IJGM.S356502 Text en © 2022 Bani Hani et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Bani Hani, Amjad
Salhiyyah, Kareem
Salameh, Mohammad
Abu Abeeleh, Mahmoud
Al Smady, Moaath
Al Rawashdeh, Mohammad
Abu Fares, Hala
Al- Ammouri, Iyad
Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title_full Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title_fullStr Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title_full_unstemmed Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title_short Atrial Septal Defect Repair in Adolescent and Adult Patients, a Cross Sectional Study at Jordan University Hospital, a Tertiary Hospital in a Developing Country
title_sort atrial septal defect repair in adolescent and adult patients, a cross sectional study at jordan university hospital, a tertiary hospital in a developing country
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8979831/
https://www.ncbi.nlm.nih.gov/pubmed/35392029
http://dx.doi.org/10.2147/IJGM.S356502
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