Fermeture percutanee des communications interauriculaires par la prothese Amplatzer

Percutaneous closure of an atrial septal detect [ASD] was undertaken in 10 patients aged from 3 to 33 years. The Amplatxer device was introduced intravenously and positioned under fluoroscopic and echographic control. the size of the ASD varied from 13 to 20 mm and that of the devices from 15 to 32 mm. one patient was operated for the removal of an improperly positioned device and closure of the ASD. All the other patients were discharged 24 hours after the procedure with successfull closure of the ASD. Complications were benign: spontaneously regressive arrhythmias [1 case] and migraines [2 cases]. our series reflects the experience of others, showing the faisability and efficiency of the procedure. tridimensionnal or intracardiac echocardiography may improve this technique in the future

Fermeture percutanee du canal arteriel chez l'enfant une premiere serie au Liban

Percutaneous closure of the patent ductus arteriosus [PDA] has become an efficient and safe technique in children. We report the first Lebanese series of 8 children who had their PDA closed percutaneously with a coil or an Amplatxer Duct Occluder. Patients median age was 3.2 years [range 1.2 to 12 years]. The median minimal diameter of the PDA was 2.1 mm [1.2 to 4 mm]. A coil was used in 4 children and an Amplatxer occluder in the 4 other patients. The device was chosen according to the diameter of The PDA The results were excellent in all patients. A trivial shunt present in 3 cases, disappeared within 8 weeks. No complication were noted in this series. Percutaneous closure of the PDA in children, using interventional radiology, is a simple and reproducible technique. It is now the treatment of choice in most pediatric cardiac centers worldwide

Total anomalous pulmonary venous connection in adults-a surgical review

The authors report a case of surgical repair of total anomalous pulmonary venous connection in a 36 year old male. This is a very rare disease in adulthood since over 80% of the infants die before one year of age. Fifty two surgical cases were previously reported in the literature. An extensive review of these cases is presented. Surgery is the only treatment and offers excellent short and long term results