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Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention [Anatol J Cardiol]
Anatol J Cardiol. 2007; 7(1): 51-53

Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention

Massimo Chessa1, Massimo Medda2, Ayman Moharram2, Gianfranco Butera1, Claudio Bussadori3, Carlo Vigna4, Mario Carminati1
1Pediatric Cardiology & Adult with Congenital Heart Disease Department Policlinico San Donato, IRCCS Milan
2Division of Adult Interventional Cardiology Policlinico San Donato, IRCCS Milan
3Pediatric Cardiology & Adult with Congenital Heart Disease Department Policlinico San Sonato, IRCCS Milan
4CSS-San Giovanni Rotondo- FG, Italy

Objective: To evaluate the possibility to perform both percutaneous coronary interventions (PCI) and atrial septal defect (ASD) transcatheter treatment during the same session. Transcatheter ASD closure is a well-established alternative to surgery and the treatment of choice for single vessel coronary artery disease (CAD) is accepted to be PCI. Methods: From January 2000 to December 2005, 985 patients were referred to our center for ASD closure. One hundred thirty four patients (59 males, mean age 58 ± 4 years, range 45-72 years) were included in a prospective protocol of ASD transcatheter closure and coronary angiography. Results: In 7 patients we found a coronary artery disease. A combined single setting definitive percutaneous approach (ASD closure and PCI) was performed in 6 patients. The patient number 4 was judged unsuitable for PCI and then was referred for surgery. There was no acute intra-procedural complication in all patients; renal functions pre and post procedure showed no change despite the increase in the amount of contrast used. Conclusion: Our report showed the feasibility of both PCI and ASD transcatheter treatment during the same session.

Keywords: Atrial septal defect, transcatheter approach, Amplatzer septal occluder, coronary stents


Perkütan koroner giriflim ve atriyal septal defektin perkütan yaklaşımla eşzamanlı kapatılması

Massimo Chessa1, Massimo Medda2, Ayman Moharram2, Gianfranco Butera1, Claudio Bussadori3, Carlo Vigna4, Mario Carminati1
1Pediatric Cardiology & Adult with Congenital Heart Disease Department Policlinico San Donato, IRCCS Milan
2Division of Adult Interventional Cardiology Policlinico San Donato, IRCCS Milan
3Pediatric Cardiology & Adult with Congenital Heart Disease Department Policlinico San Sonato, IRCCS Milan
4CSS-San Giovanni Rotondo- FG, Italy

Anahtar Kelimeler: Atriyal septal defect, transkateter yaklaşım, Amplatzer septal oklüder, koroner stentler


Massimo Chessa, Massimo Medda, Ayman Moharram, Gianfranco Butera, Claudio Bussadori, Carlo Vigna, Mario Carminati. Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention. Anatol J Cardiol. 2007; 7(1): 51-53


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