Simultaneous occlusion of congenital heart disease with atrial fibrillation followed by percutaneous left atrial appendage closure / 中国实用内科杂志

ABSTRACT

The changes of hemodynamics in congenital heart disease make the variety of cardiac electroanatomical structure be easily to cause atrial fibrillation. With the development of interventional and surgical techniques, different therapeutic strategies had been applied to simultaneous treatment of atrial septal defect with atrial fibrillation. In order to prevent stroke caused by atrial fibrillation, the recurrence rate of atrial fibrillation after electrical cardioversion was high, while oral anticoagulants with low control rate or high risk of bleeding which were not ideal simultaneous treatment strategies. Left atrial appendage occlusion in congenital heart disease patients with atrial fibrillation, and simultaneous interventional occlusion therapy for congenital heart disease, had become a new research focus. Short and medium term follow-up showed that this technique was feasible, safe and effective, and yielded to further study.