The answer to the question of optimal treatment of hemodynamically significant atrial defects of the ostium secundum type is simple: catheter closure, whenever possible - editorial
Abstract
The question of surgical comparison and the catheterization process is not complete new. A similarly formulated goal and the same study design were chosen by German authors 6 years ago when evaluating the treatment of hemodynamically significant ASD II by surgery or Amplatzer occluder.
They were also very successful procedurally (in 98% of patients in both groups) and thanks to similar ones results as Czech authors of one- catheter closures greatly favor whenever technically possible. No.
So if we omit the economic point of view, we do not currently have no rational reasons to prefer ASD II surgical closure before catheter closure. The question of clinical practice in the present time it no longer sounds whether surgical or catheter closure, but which ASD II (as well as foramen ovale patens - PFO) in which patients catheter closure.
We will have a surgical procedure continue to prefer only if other types of ASD as well as ASD II with other associated anomalies.