Permanent Atrial Fibrillation is Restored And Sinus Rhythm Maintained Without Catheter Ablation After Atrial Septal Defect Closure: A Case Report

Authors

  • Yuan guo Chen Department of Cardiovascular Medicine, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Peng Wu Department of Cardiovascular Medicine, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Xin Zhao Department of Cardiovascular Medicine, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Liu Yan Wu Department of Ultrasound, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Peng Bai Department of Ultrasound, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Haibo Zhang Department of Cardiovascular Medicine, the Ya’an People’s Hospital, Sichuan Province, P. R. China
  • Ping Ren Department of Cardiovascular Medicine, the Ya’an People’s Hospital, Sichuan Province, P. R. China

DOI:

https://doi.org/10.1532/hsf.4945

Keywords:

Atrial septal defect, atrial septal defect occlusion, Atrial fibrillation, sinus rhythm

Abstract

Giant atrial septal defect (ASD) often is associated with atrial arrhythmia, such as atrial fibrillation (AF). The recovery rate of AF is very low. Moreover, it is difficult for the intervention of a giant atrial septal defect, and it also is more difficult to perform atrial septal puncture and left atrial appendage (LAA) closure after ASD occlusion. Here, we report a case of a giant ASD and permanent AF. We find that the AF is significantly improved after atrial septal defect (ASD) occlusion and left atrial appendage (LAA) occlusion, which is manifested by spontaneous restoration and maintenance of normal sinus rhythm.

References

Duong P, et al. 2017. Atrial arrhythmia after transcatheter closure of secundum atrial septal defects in patients >/=40 years of age. Europace. 19, 1322-1326.

Magnin-Poull I, De Chillou C, Miljoen H, Andronache M, Aliot E. 2005. Mechanisms of Right Atrial Tachycardia Occurring Late After Surgical Closure of Atrial Septal Defects. Journal of Cardiovascular Electrophysiology. 16, 681-687

Nitta T, et al. 2013. Reentrant and focal activations during atrial fibrillation in patients with atrial septal defect. Ann Thorac Surg. 96, 1266-1272.

Sun H, et al. 2021. Prediction of arrhythmia after intervention in children with atrial septal defect based on random forest. BMC Pediatr. 21, 280.

Vyas V, Kaura A, Sawhney V, Lowe M, Ezzat V. 2020. Atrial tachyarrhythmias following percutaneous device closure of secundum atrial septal defects. Int J Cardiol Heart Vasc. 27, 100490.

Wang H, Wang C, Chen J, Zhao L, Pan X. 2019. Long-term outcome of catheter ablation for atrial tachyarrhythmias in patients with atrial septal defect. J Interv Card Electrophysiol. 54, 217-224.

Yang G, et al. 2015. Prevention of postsurgical atrial tachycardia with a modified right atrial free wall incision. Heart Rhythm. 12, 1611-1618.

Zhang ZH, et al. 2020. "One-stop shop": safety and efficacy of combining atrial septal defect occlusion and left atrial appendage closure for patients with atrial septal defect and atrial fibrillation. BMC Cardiovasc Disord. 20, 444.

Published

2022-09-28

How to Cite

Chen, Y. guo, Wu, P. ., Zhao, X. ., Wu, L. Y. ., Bai, P. ., Zhang, H. ., & Ren, P. . (2022). Permanent Atrial Fibrillation is Restored And Sinus Rhythm Maintained Without Catheter Ablation After Atrial Septal Defect Closure: A Case Report. The Heart Surgery Forum, 25(5), E676-E679. https://doi.org/10.1532/hsf.4945

Issue

Vol. 25 No. 5 (2022)

Section

Article
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