title: [Percutaneous closure of secundum atrial septal defects in pediatric and adult patients: short- and mid-term follow-up results].
abstract: OBJECTIVE
  We aimed to evaluate the short- and mid-term results of patients with atrial septal defect (ASD) who were treated with percutaneous closure.
  
  
  METHODS
  Seventy-nine patients with secundum ASD (54 female and 25 male; mean age 26.2±17.2; range 3 to 71] years) were included in this study. Patients were evaluated by transthoracic (TTE) and/or transesophageal echocardiography (TEE). Amplatzer septal occluder (ASO) was used in all patients. In 76 patients, the procedure was performed under local anesthesia with TTE, while in the other 3 patients, it was performed with general anesthesia with TEE. Patients were followed up at the 1st, 3rd, 6th and 12th months and annually thereafter. Mean follow-up time was 13.6±6.6 months.
  
  
  RESULTS
  Mean diameter of ASDs was 18.2±7.5 mm and 20.7±8.04 mm during balloon dilatation, and mean diameter of implanted devices was 22.7±8.5 mm. Procedural time was 40.2±12.6 minutes and fluoroscopy time was 10.9±4.1 minutes. The procedure was successfully performed in all patients (100%). One patient with cardiac tamponade died seven days after cardiac surgery. In two patients, the implanted devices embolized to the pulmonary circulation. Residual flow was found in three patients immediately after the procedure, without residual shunts one month after closure. Mild pericardial effusion in one patient and significant residual shunt due to device malposition in another were discovered during the follow-up at 1 and 6 months, respectively, after the procedure.
  
  
  CONCLUSIONS
  Our findings showed that percutaneous closure of ASDs is successful in most patients with a low complication rate, and demonstrated that residual shunts do not develop in the majority of patients in the short- and mid-term.
authors.affiliation: Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey. dryuksel_kaya@hotmail.com.tr.
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Kaya
authors.affiliation: Department of Cardiology, Van Lokman Hekim Hospital, Van, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yurtdaş
authors.affiliation: Department of Cardiology, Yüzüncü Yıl University Faculty of Medicine, Van, Turkey.
authors.forename: Yemlihan
authors.initials: Y
authors.lastname: Ceylan
authors.affiliation: Department of Pediatric Cardiology, Van Maternal and Child Health Hospital, Van, Turkey.
authors.forename: Mustafa Orhan
authors.initials: MO
authors.lastname: Bulut
authors.affiliation: Department of Cardiology, Van Yüksek İhtisas Hospital, Van, Turkey.
authors.forename: Nihat
authors.initials: N
authors.lastname: Söylemez
authors.affiliation: Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey.
authors.forename: Tolga Sinan
authors.initials: TS
authors.lastname: Güvenç
authors.affiliation: Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karakurt
authors.affiliation: Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Akdemir
authors.affiliation: Department of Radiology, Van Yüksek İhtisas Hospital, Van, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Oztürk
authors.affiliation: Department of Cardiology, Sakarya University Faculty of Medicine, Sakarya, Turkey.
authors.forename: Yılmaz
authors.initials: Y
authors.lastname: Güneş
authors.affiliation: Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey.
authors.forename: Bahattin
authors.initials: B
authors.lastname: Balcı
authors.affiliation: Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ozkan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult