Vol. 7 No. 01 (2023)
Original Article

Observation of Immediate and Short Term Results of Percutaneous Trans-Catheter Device Closure of Atrial Septal Defect in a Paediatric Cardiac Centre, Bangladesh

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Md Ashfaque Ahemmed Khan
Classified Child Specialist & Interventional Paediatric Cardiologist, Department of Paediatric Cardiology, Combined Military Hospital, Dhaka, Bangladesh
Mohammad Nazmul Islam Bhuiyan
Classified Child Specialist & Interventional Paediatric Cardiologist, Department of Paediatric Cardiology, Combined Military Hospital, Dhaka, Bangladesh
Nurun Nahar Fatema
Paediatric & Structural Interventional Cardiologist, Department of Paediatrics & Paediatric Cardiology, Combined Military Hospital Dhaka & Armed Forces Medical College, Dhaka, Bangladesh
Md Ferdousur Rahman Sarkar
Classified Child Specialist & Interventional Paediatric Cardiologist, Department of Paediatric Cardiology, Combined Military Hospital, Dhaka, Bangladesh
Sultana Yesmin
Associate Professor, Department of Pharmacology, Dhaka Dental College, Dhaka, Bangladesh

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Abstract

Introduction: Atrial Septal Defect (ASD) is a common congenital heart defect that can lead to various complications if left untreated. Percutaneous trans-catheter device closure has emerged as a viable alternative to surgical closure, especially for secundum ASDs. However, data on its effectiveness and safety in a resource-constrained setting like Bangladesh are limited. Methods and materials: This prospective observational study was conducted at Pediatric Cardiac Centre, Combined Military Hospital Dhaka, a tertiary care center in Bangladesh. Fifty patients with secundum ASD were enrolled and underwent percutaneous trans-catheter ASD device closure. Various parameters like age, gender, comorbidities, presenting symptoms, and investigation findings were analyzed. Immediate and short-term outcomes following intervention were assessed through clinical examination and follow-up investigations. Result: The device was successfully implanted in 48 out of 50 patients (96%). No residual shunts were observed in any of the successful cases during the follow-up period. Right Ventricular (RV) size normalization was observed in 81.25% of the patients by the third follow-up. Incomplete Right Bundle Branch Block (RBBB) with or without Right Ventricular Hypertrophy (RVH) decreased from 66.67% immediately post-procedure to 35.42% at the third follow-up. Conclusion: The study confirms the safety and efficacy of percutaneous trans-catheter ASD device closure in a resource-constrained setting. It also emphasizes the importance of thorough pre-procedure evaluation for optimal patient selection and outcome.

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Published 10-02-2024

Keywords

  • Atrial Septal Defect,
  • Percutaneous Trans-Catheter Device Closure,
  • Resource-Constrained Setting,
  • Safety,
  • Efficacy

How to Cite

1.
Khan MAA, Bhuiyan MNI, Fatema NN, Sarkar MFR, Yesmin S. Observation of Immediate and Short Term Results of Percutaneous Trans-Catheter Device Closure of Atrial Septal Defect in a Paediatric Cardiac Centre, Bangladesh. Planet (Barisal) [Internet]. 2024 Feb. 10 [cited 2024 Jul. 24];7(01):323-3. Available from: https://bdjournals.org/index.php/planet/article/view/435