OBJECTIVES: Percutaneous ostium secundum @entity118 ( @entity30160 ) closure has become the standard of care for treatment of @entity30160 in adults. Nevertheless, @entity1 are frequently ineligible for this technique due to challenging morphology. In such cases, closure via minimally invasive cardiac surgery (MICS) is an appropriate treatment option. The aim of this study is to compare outcomes of MICS and use of a percutaneous Amplatzer septal occluder (ASO) device for treatment of @entity30160 in adults. METHODS: From July 2002 to June 2014, 95 @entity1 underwent MICS for @entity30160 closure. During the same period, 169 @entity1 underwent ASO procedure. Outcomes in terms of remaining @entity30160 , new onset @entity955 ( @entity955 ), post-interventional @entity64 , @entity583 and the post procedural implementation of anticoagulation were compared. RESULTS: Apart from age (38.3        12.7 vs 49.6        15.7 years, P   <   0.0001) the groups did not differ in baseline characteristics. A significantly higher rate of residual @entity30160 was found in the ASO group at 3 months (0% vs 30.8%, P   <   0.0001), 6 months (0% vs 15.9%, P   <   0.0001) and 12 months follow-up (0% vs 7.1%, P   =   0.005). A significantly higher rate of new-onset @entity955 was seen in the ASO group (0% vs 9.5%, P   =   0.0008). CONCLUSIONS: MICS for @entity30160 is a safe and reproducible procedure with 0% mortality in our cohort. More complete closure of @entity2438 , decreased rates of new onset @entity955 and decreased need for oral anticoagulation are the advantages of the MICS procedure. Compared with the current standard of care, the MICS approach is feasible regardless of @entity2438 morphology.

Minimally invasive endoscopic surgery versus catheter-based device occlusion for XXXX in adults: reconsideration of the standard of care.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity30160 :: ('MESH:C566239', 'Disease') :: ['ASD II', 'congenital ASD II'] @entity2438 :: ('MESH:D001321', 'Disease') :: ['ASD'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation', 'AF'] @entity118 :: ('MESH:D006344', 'Disease') :: ['atrial septal defect']
@entity118 :: (MESH:D006344,Disease) :: ['atrial septal defects']
