Inter-atrial Septum Stenting in Congenital Heart Disease Patient: A Case Series in Indonesia

Title:Inter-atrial Septum Stenting in Congenital Heart Disease Patient: A Case Series in Indonesia

Volume: 24 Issue: 3

Author(s): Radityo Prakoso*, Yovi Kurniawati, Sisca Natalia Siagian, Aditya Agita Sembiring, Damba Dwisepto Aulia Sakti, Brian Mendel, Olfi Lelya and Oktavia Lilyasari

Affiliation:

• Division of Pediatric Cardiology and Congenital Heart Disease, Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Universitas Indonesia, Jakarta, Indonesia

Keywords: Congenital heart disease, developing country, duct-dependent, high-risk, inter-atrial septum stenting, lowfrequency, single ventricle

Abstract:

Background: Inter-atrial septum (IAS) stenting in duct-dependent congenital heart disease patient has shown to be an effective way to maintain inter-atrial blood flow, however it is still considered a high risk procedure and inter-atrial septum stenting remains a low-frequency procedure.

Method: A single-center observational cohort study was carried out at the National Cardiovascular Center Harapan Kita (NCCHK) between April 2019 and April 2023. This study included duct-dependent congenital heart disease patients. The extracted data were baseline characteristics, clinical findings, complications, and outcomes of the patients.

Result: Eleven patients with duct-dependent physiology were intervened with inter-atrial septum stenting. The patients were 4 females and 7 males with the median age of implantation being 150 days (range 11-703 days) and the median weight being 3.9 (range 2.8-9) kg, with 2 patients weighing less than 3 kg. The average stent diameter was 8.50 (2.03) mm with an average length of 24.45 (7.94) mm. Non-restrictive atrial flow was successfully achieved in 90.90% of the procedures, corresponding to 10 patients.

Conclusion: Inter-atrial septum stenting in duct-dependent congenital heart disease patients produces reliable patency with a very good intra-procedural success rate.

Cite this article as:

Prakoso Radityo*, Kurniawati Yovi, Siagian Natalia Sisca, Sembiring Agita Aditya, Sakti Dwisepto Aulia Damba, Mendel Brian, Lelya Olfi and Lilyasari Oktavia, Inter-atrial Septum Stenting in Congenital Heart Disease Patient: A Case Series in Indonesia, Cardiovascular & Hematological Disorders-Drug Targets 2024; 24 (3) . https://dx.doi.org/10.2174/011871529X320825240925073605