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At least 73 records · Page 4Linked to original sources
PubMed2004

[Radiofrequency modified maze operation for chronic atrial fibrillation with ASD; report of a case].

A 61-year-old man with congestive heart failure was referred to our hospital and diagnosed as atrial septal defect (ASD) [Qp/Qs = 1.6] with chronic atrial fibrillation. Occurrence of atrial fibrillation was supposed to be the cause of heart failure rather than L-R shunt of ASD. The patient was successfully operated on with the use of routine cardiopulmonary bypass. Radiofrequency modified maze procedure was done, and then small ASD (1 cm of diameter) was closed with patch. Postoperative transthoracic Doppler echocardiography confirmed clear A wave for transmitral and transtricuspid flow. The patient recovered uneventfully and was discharged in stable sinus rhythm and has been drug free since then.

Atrial Fibrillation↗
PubMed1995

[Five cases of ASD-PDA complex: a review of 38 cases reported in Japan].

Five cases of ASD-PDA complex were experienced. The incidence of ASD-PDA complex was 1.2% of CHD in our institution. The age at operation was ranged from 10 days after birth to 2 years of age. Four patient were male and 1 was female. Also, 4 patients had noncardiac anomalies, including Down syndrome, microcephaly, cleft palate, micrognathia, and cranioschisis. All patient had moderate or severe pulmonary hypertension. Three patients received ASD and DA closure under cardiopulmonary bypass, however, 2 patients were succeeded in decreasing CTR and pulmonary vascular shadow by ligation of DA. Operative and hospital mortality was none. We also studied concerning clinical features and surgical treatment by the review of 38 cases reported in Japan and our 5 cases.

Ductus Arteriosus, Patent↗
PubMed1996

Complete nucleotide sequence of the Campylobacter jejuni 72Dz asd gene.

Campylobacter jejuni asd gene was sequenced. The GC content of the gene coding region is 32.7%. The codon usage is typical for a gene in a genome with low GC content. The structure of the gene regulatory sequences resembles that one used for Escherichia coli gene transcription and translation. The amino acid sequence of the Asd protein exhibits significant homology to asd gene products from other microorganisms.

Amino Acid Sequence↗
PubMed2001

A late complication with the CardioSEAL ASD occluder device and need for surgical revision.

A late complication of the CardioSEAL atrial septal defect (ASD) occluder is reported. Although left atrial umbrella was completely epithelialized and occluded ASD without residual defect, the right atrial umbrella protruded toward the center of right atrium after 18 months. We believe this may be associated with the structural abnormality of the device.

Adolescent↗
PubMed2007

Use of a straight, side-hole delivery sheath for improved delivery of Amplatzer ASD occluder.

The Amplatzer ASD occluder may be difficult to position in some patients with a large atrial septal defect (ASD) or deficiency of one or more atrial septal rims. We developed a method to modify a Mullins transseptal sheath to enhance delivery. The resulting sheath is straight and has an exit orifice essential in the side of the distal portion of the sheath-a straight, side-hole (SSH) delivery sheath. We have used this modified delivery sheath in 140 successive patients with excellent results. The techniques of sheath modification and delivery of the device using the modified sheath are described.

Balloon Occlusion↗
PubMed1982

Nucleotide sequence of the asd gene of Escherichia coli: absence of a typical attenuation signal.

The asd gene of escherichia coli encodes aspartic semialdehyde dehydrogenase, an enzyme involved in lysine, threonine, and methionine biosynthesis; its synthesis is controlled by a multivalent repression mechanism. It was cloned in plasmid pBR322 and its complete nucleotide sequence determined. The sequence predicts a polypeptide chain of 367 amino acids, in good agreement with results obtained for the purified protein ( Biellmann et al., 1980a ). Our data indicate a Cys residue instead of a His residue, which was proposed after covalent labeling of the active center of the enzyme; this is more in line with the catalytic site of glyceraldehyde-3-phosphate dehydrogenase, an enzyme which carries out a similar reaction. The nucleotide sequence that precedes the translational start does not display any of the characteristic features of an attenuation signal. Hence the expression of the asd gene is probably not controlled in the same way as other multivalently repressed operons such as ilva and thr.

Aspartate-Semialdehyde Dehydrogenase↗
PubMedDate not supplied

Asd-homothallism of Saccharomyces cerevisiae: identification of asd1-1 as an allele of sir4 and detection of alpha-specific suppressors of it.

Asd-homothallism of Saccharomyces cerevisiae involves a life cycle characterized by a non-mating phenotype and endomitotic diploidization. The former trait is determined by a single mutation, asd1-1. This mutation was mapped between hom2 and lys4 on the right arm of chromosome IV and was complemented by the cloned SIR4 gene. Therefore, we conclude that asd1-1 is an allele of sir4-11 and renamed it sir4-11. Endomitotic diploidization of asd-homothallism is caused by the collaboration of three to four mutations including sir4-11. In the course of this study, we detected alpha-specific suppressors of sir4-11.

Alleles↗
PubMed1976

Xylose absorption before and after surgical correction of atrial septal defect (asd) and ventricular septal defect (vsd).

The aim of the study was to ascertain whether the acceleration of physical development in children after surgery for ASD or VSD is due to improved intestinal absorption. There were 17 patients with ASD and 9 patients with VSD (aged 5-15 years) examined. Significantly increased values of the xylose test after surgery were found in both groups. The authors suggest that the improvement in intestinal absorption is due to an increase of systemic blood flow after operation. Simultaneously, the stldy confirms, on natural human model, the known dependence between blood flow and the intestinal absorption rate.

Adolescent↗
PubMed2003

Catheter closure of secundum ASD using "other" devices.

The first nonoperative ASD closure was performed by Noel L. Mills and Terry D. King in a 17-year old female patient on April 8, 1975. In the following years there was little interest in this clinical field after trials with the "Clamshell Device" had been discontinued because of arm fractures. From the late 1980s until the mid 1990s E. B. Sideris ("Buttoned Device") and U.U. Babic ("ASDOS") kept the ideas of King & Mills alive while G.S. Das developed the first self-centering device ("AngelWings"). Clinical trials with ASDOS and AngelWings have been stopped because of complicated technology and risk of perforation. The Buttoned Device and its modifications are still used with high success rates even in defects > 20 mm and low long-term risk of perforation. Since the pioneering works of King & Mills marked improvements in devices and delivery systems have been achieved. After almost three decades of ongoing research and development, transcatheter ASD closure has become a clinical routine procedure.

Balloon Occlusion↗
PubMed1998

Pulmonary capillary haemangiomatosis coexistence with sinus venosus ASD: morphometric analysis and literature review.

A 24 yr old white female presented with dyspnoea, orthopnoea, paroxysmal nocturnal dyspnoea, cough and fatigue. Transthoracic echocardiography revealed a sinus venosus atrial septal defect (ASD). Right heart catheterization confirmed severe pulmonary hypertension (80/37 mmHg). A chest radiograph showed enlarged pulmonary arteries with peripheral pruning. Surgical repair of the ASD and lung biopsy were performed. Two days later, she developed right heart failure and was treated with inhaled nitric oxide and then a calcium channel blocker. She failed to improve and was readmitted three months later with severe right heart failure and progressive dyspnoea. While waiting for lung transplantation, she developed haematochezia and died. Light microscopy of lung biopsy and autopsy tissue revealed the structural changes of pulmonary hypertension and focal increases in congested pulmonary capillaries consistent with the diagnosis of pulmonary capillary haemangiomatosis. Quantitative analysis demonstrated that the pathological changes were rapidly progressive.

Adult↗
PubMed1999

Intensified treatment and education of type 1 diabetes as clinical routine. A nationwide quality-circle experience in Germany. ASD (the Working Group on Structured Diabetes Therapy of the German Diabetes Association).

This contribution describes the nationwide implementation of an intensive treatment and education program for type 1 diabetic patients in the clinical routine of the German health care system. Based on the formation of a working group (Arbeitsgemeinschaft Strukturierte Diabetestherapie [ASD]) of presently 57 general internal medicine departments, mainly from secondary and tertiary care levels in city and country hospitals throughout the country, a peer-review quality circle was formed as an official working group of the German Diabetes Association. The participating institutions performed a structured program of intensive treatment and education in all type 1 diabetic patients referred to them on a routine basis. The program includes multiple daily insulin injections or continuous subcutaneous insulin infusion, several times daily blood glucose self-monitoring and self-adaptation of insulin dosages and other aspects of treatment by the patients, and a far-reaching liberalization of the nutrition regimen. The group has attempted to document and to improve the quality of the structure and process of type 1 diabetes care in its participating institutions by a system of peer supervision. Furthermore, all member institutions volunteered to collect outcome data based on systematic 1-1.3 years' follow-up examinations of consecutive type 1 diabetic patients. For the 1997 evaluation of 1,103 type 1 diabetic patients, significant decreases of GHb levels and of incidence rates of severe hypoglycemia (from 0.35 to 0.16 cases per patient-year) and ketoacidosis (from 0.08 to 0.02 cases per patient-year) are presented. The ASD quality circle represents a model to improve principal aspects of type 1 diabetes care on a nationwide basis.

Cohort Studies↗
PubMed1998

3D-video- and robot-assisted minimally invasive ASD closure using the Port-Access techniques.

BACKGROUND: Video-assisted minimally invasive surgical methods with endovascular-based femoral cardiopulmonary bypass (CPB) and balloon occlusion of the aorta (Port-Access technique) were used to close an ostium-secundum atrial septal defect (ASD) in 7 patients. METHODS: Minor modifications were made to the system to provide drainage of the superior vena cava. The surgery was performed through a small (3.5-5cm) right anterolateral thoracotomy with 3D video and robotic arm assistance. RESULTS: The operative procedures were completely uneventful and the patients were discharged four days postoperatively in good condition and with excellent cosmesis. CONCLUSION: Using the modifications described, the Port-Access surgical method can be recommended for minimally invasive closure of an ASD.

Adolescent↗
PubMed2001

[Self-estimation of the quality of life in adult patients after surgical correction of atrial septal defect type II (ASD II)].

Health estimation was performed in 134 patients (where 67% were women), aged 17-70, mean 42 years, 2-3 years after surgical correction of atrial septal defect type II (ASD II). The study consists of clinical examination and self-estimation of the quality of life with help of a mall questionnaire, with return ratio of 90%. The improvement of health status was declared by 80% of patients, where 23% stated considerable improvement. While 15% did not confirm any significant changes and 5% noticed worsening quality of life status (mainly connected with postoperative pain). The physical condition improved similarly, with range of tolerable physical effort doubled. The frequency of dyspnea, chest pain and palpitation decreased from 72%, 67% and 87% to 47%, 43% and 47%, respectively, as well as their intensity. More over, the frequency of anxiety decreased from 70% to 62% with reduction of its intensity. Both, before and after surgery, the environmental estimation and self-estimation was very good (77% versus 78%, 78% versus 89%) respectively, and predominant were optimistic attitudes. Post-operative improvement of the quality of life correlating to the clinical state, confirms the suitableness of surgical correction of ASD II, independent of age.

Adolescent↗
PubMedDate not supplied

[Cloning the asd and lysC genes from Cornyebacterium glutamicum].

Plasmids carrying an asd gene from a mutant. S-(2-aminoaethyl)-L-cysteine resistant strain of Corynebacterium glutamicum were selected from a clonoteque constructed on a plasmid cloning vector pSL5 by complementation of asd mutation in Escherichia coli. Evidence has been obtained that the cloned chromosomal DNA fragment contains also a complete sequence for feed-back-resistant aspartokinase lysC gene.

Chromosomes, Bacterial↗
PubMed1993

[Surgical treatment of adult secundum ASD with severe pulmonary hypertension--two case reports].

Indication and treatment of adult secundum ASD with severe PH was discussed in two surgical cases. Case 1: 32-year-old woman with dyspnea on exercise. After 100% O2 inhalation, PA systolic pressure changed from 103 to 104 mmHg, left to right shunt ratio changed from 18.2% to 52.2%, Qp/Qs changed from 1.07 to 2.08, Rp/Rs changed from 0.58 to 0.28, PVR changed from 1606 to 805 dyne.sec.cm-5 respectively. Because the reversibility of pulmonary obstructive disease was recognized, ASD closure was performed. Her activity became well, and PVR was decreased to 758 after the operation. Case 2: 63-year-old man with dyspnea on exercise. After 100% O2 inhalation, PA systolic pressure changed from 102 to 95 mmHg, Left to right shunt ratio changed 31.9 to 51.0%, Qp/Qs changed from 1.30 to 2.0, Rp/Rs changed from 0.65 to 0.39, PVR changed from 1257 to 806 dyne.sec.cm-5. After the operation, he got well, and PA systolic pressure was decreased to 85 mmHg, PVR was 620. 100% O2 inhalation test was valuable to evaluate the reversibility of pulmonary obstructive state and to decide the surgical indication.

Adult↗
PubMed1993

[A report of successful surgical management of ASD, VSD and PDA associated with partial DiGeorge syndrome in infant].

We report an infantile male case of ASD, VSD and PDA associated with DiGeorge syndrome. The patient who was 58-day old presented the partial deficiency of cell-mediated immunity and normocalcemia before the admission to our hospital. We made semi-emergent operation because of increasing of lung congestion caused by repetitional infection of upper respiratory tract. Direct closure of the ASD, patch closure of the VSD and ligation of the PDA were performed successfully. He was suffered from severe pneumonia caused by MRSA in early postoperative stage. It was effective to give antibiotics and gamma-globulins.

DiGeorge Syndrome↗
PubMed1998

Thrombus formation on transcatheter ASD occluder device in a patient with coagulation factor XII deficiency.

Transcatheter occlusion of cardiac defects has become an effective and less invasive alternative to open heart surgery. Thromboembolic complications are rare events, after both surgical and transcatheter closure of atrial septal defects [Galal et al.: Eur Heart J 15:1381-1384, 1994]. We report on a case of thrombus formation on the atrial septal defect occluder system (ASDOS) [Sievert et al.: Cathet Cardiovasc Diagn 36:232-240, 1995; Hausdorf et al.: Heart 75:83-88, 1996]. Two days after transcatheter occlusion, the patient suffered an acute stroke due to embolism despite anticoagulation with intravenous heparin. A coagulation disorder with reduced factor XII concentration was deduced as the likely cause. Repeated transesophageal echocardiographic (TEE) studies revealed an involution of the intracardial thrombus within weeks of subsequent anticoagulatory treatment. First off, this case shows that patients with factor XII deficiency are at risk for thromboembolism. Second, it again clarifies that even large amounts of intraartrial thrombotic material may not be seen by transthoracic echocardiography (TTE) and underscores the necessity of performing TEE. Screening patients for coagulation disorders (Quick's value (Q), partial thromboplastin time (PTT)) before they are selected for treatment with thrombogenic devices is indispensable. With regard to their personal history (earlier thromboembolism) and the result of this screening (e.g., prolongation of PTT), quantitative determination of coagulation factors is reasonable. If patients endangered by thromboembolic complications nevertheless undergo ASD occlusion procedures, anticoagulation monitoring requires exceptional attention. Furthermore, it is recommended that TEE should be carried out in these patients 2 days after treatment, since transthoracic echocardiography (TTE) might be unable to detect thrombus formation on the device.

Cardiac Catheterization↗
PubMed1996

Monoclonal antibody WGM1 directed against proteinase 3: an immunohistochemical marker for naphthol ASD chloroacetate.

Enzyme histochemistry for naphthol ASD chloroacetate (NASDCA, 'Leder's stain') is used to identify the granulocyte lineage ranging from promyelocytes to mature neutrophils and is an additional tool for the characterization of leukemias. We demonstrated for the first time that NASDCA activity can be detected by routine immunohistochemistry and immunocytochemistry using the monoclonal antibody WGM1 directed against proteinase 3 (PR3; synonyms: Wegener's autoantigen, myeloblastin). Immunohisto- and immunocytochemical staining with WGM1 against PR3 and enzyme histochemistry for NASDCA produced identical staining patterns in normal myelomonocytic cells and cells of myeloid leukemia. This was additionally proven by double immunostainings. We have also shown that PR3 is one of the specific proteinases responsible for hydrolysis of NASDCA.

Adolescent↗