title: Transcatheter closure of secundum atrial septal defect.
abstract: Since the introduction of transcatheter closure of atrial septal defect, device closure has become the alternative treatment of selected atrial defects. Although excellent results have been reported for transcatheter closure, concerns have arisen regarding complications, including residual shunt, systemic or pulmonary embolization of the device, and erosion and perforation of the cardiac chamber. Those complications are rare but potentially serious adverse events that may require immediate surgical intervention. This review summarizes the current trends in patient selection, result of device closure and typical complications. Comparison between transcatheter device closure and surgical closure is also made.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan, shimpo@clin.medic.mie-u.ac.jp.
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
authors.forename: Reina
authors.initials: R
authors.lastname: Hojo
authors.forename: Maeshiro
authors.initials: M
authors.lastname: Ryo
authors.forename: Takeshi
authors.initials: T
authors.lastname: Konuma
authors.forename: Hironori
authors.initials: H
authors.lastname: Tempaku
mesh_terms: D006328:Cardiac Catheterization; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D019919:Prosthesis Implantation