Most patients are expected to survive into adulthood when they become more symptomatic. 2 It is usually asymptomatic during infancy and childhood and diagnosed incidentally. 1 Nearly 70% of all Atrial septal defects are of the secundum subtype. live births (17.5% of all congenital heart diseases). 1 Atrial Septal defect (ASD) is the second most common anomaly occurring in approximately 1.
The incidence of congenital heart disease (CHD) is on the rise globally. Keywords: atrial septal defect, ASD closure, heart team 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. A heart team approach is a necessity in the era of advances in both MICS surgery and TCC approach. 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).Ĭonclusion: ASD closure whether TCC or MICS is a safe procedure with very low morbidity. We had no mortality and 2 minor morbidities. Thirty-four patients underwent TCC, 9 underwent surgical closure and one had a hybrid procedure. Results: A total of 44 patients with secundum ASD were treated during the period of (January 2015 and December 2019). SPSS and Microsoft Excel were used to analyze the data.
Patients who were treated at an age of 14 years or older regardless of the age of diagnosis were included.
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. 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). Amjad Bani Hani, 1 Kareem Salhiyyah, 2 Mohammad Salameh, 1 Mahmoud Abu Abeeleh, 1 Moaath Al Smady, 1 Mohammad Al Rawashdeh, 3 Hala Abu Fares, 3 Iyad Al- Ammouri 3ġDepartment of General Surgery, Division of Cardiac Surgery, The University of Jordan, Amman, Jordan 2Department of Cardiac Science, Middle East University, Amman, Jordan 3Department of Pediatrics, Division of Pediatric Cardiology, The University of Jordan, Amman, JordanĬorrespondence: Amjad Bani Hani, Email