Assessment of right atrial function with speckle tracking echocardiography after percutaneous closure of an atrial septal defect

Öztürk, Önder; Öztürk, Ünal; Ozturk, Sengul

doi:10.1016/j.repc.2017.06.013

Cited by 16 publications

(11 citation statements)

References 24 publications

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“…When compared to the previous studies, some authors showed significantly different results of a significant reduction in RV volumes at the first month after ASD closure and significantly improved RV function measured with speckle tracking and RV MPI indicated long‐term volume overload was associated with decreased strain values and RV function . Thus, these authors concluded that long‐term volume overload can deteriorate RV function in adult patients.…”

Section: Discussionmentioning

confidence: 78%

Evaluation of right ventricular myocardial strains by speckle tracking echocardiography after percutaneous device closure of atrial septal defects in children

Zhou

Tang

et al. 2018

Echocardiography

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Section: Discussionmentioning

confidence: 78%

Evaluation of right ventricular myocardial strains by speckle tracking echocardiography after percutaneous device closure of atrial septal defects in children

Zhou

Tang

et al. 2018

Echocardiography

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“…Research on the function of the heart chambers in patients with ASDs in comparison with healthy control individuals has shown impairment in the former group . The recovery of function in the cardiac chambers after these treatment modalities is assessed with echocardiography . The functions of the right atrium (RA) and the left atrium (LA) after ASD closure have been previously investigated, but most of these studies had maximal follow‐up durations of only 1 year .…”

mentioning

confidence: 99%

Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Haji-Zeinali

Iri

Hosseinsabet

2018

J of Ultrasound Medicine

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Objectives The available literature lacks data on the comparison of the functions of the right atrium (RA) and left atrium (LA) between surgical atrial septal defect (ASD) closure and percutaneous device ASD closure at follow‐up durations of longer than 1 year. We sought to evaluate the RA and LA functions in patients who underwent surgical or device ASD closure between 1 and 5 years postprocedurally. Methods The study population included 30 patients who underwent device ASD closure and 30 who underwent surgical ASD closure, who were matched for the procedural time, age, and sex, in addition to 30 control participants. The RA and LA functions were evaluated with 2‐dimensional speckle‐tracking echocardiography. Results The LA systolic and early diastolic strain and strain rate values and the RA early diastolic strain rate in the device closure group were more likely to be abnormal than in the control group. The RA systolic and late diastolic strain and strain rate values, the RA early diastolic strain rate, and the LA early diastolic strain in the surgical closure group were more likely to be abnormal than in the control group. The RA systolic strain and strain rate in the surgical closure group were more likely to be abnormal than in the device closure group. Conclusions The LA reservoir and conduit functions and the RA contraction function in the patients who underwent device ASD closure and all of the RA functions and the LA conduit function in the patients who underwent surgical ASD closure were more likely to be abnormal than those in the control participants. The RA reservoir function in the surgical closure group was more likely to be abnormal than that in the device closure group.

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“…RA function is a useful index for evaluating RV diastolic function in pulmonary arterial hypertension [25,26] and has been reported to have a signi cant negative correlation with pulmonary artery systolic pressure and pulmonary vascular resistance, indicating that the RA strain is directly related to the severity of PH [27,28]. After an ASD is corrected using open-heart surgery, decreased RA strain is also associated with decreased RV diastolic stiffness [29]. Right atrial reservoir function decreases over time from mild RV maladaptation to severe RV maladaptation in PH [30] and is associated with RAP and mPAP in PH patients [31][32][33].…”

Section: Discussionmentioning

confidence: 99%

Predicting Postoperative Hypertension Among Patients With Ventricular Septal Defect in Infants

Kawamura

Ueno

Shimozono

et al. 2021

Preprint

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Purpose: Patients with strong pulmonary vascular occlusive lesions are at risk of developing postoperative pulmonary hypertension (PH). We aimed to evaluate preoperative right ventricular (RV) function in patients with ventricular septal defect (VSD) who required cardiac surgery during infancy and consequently developed postoperative PH and to determine whether we could preliminarily evaluate postoperative PH in these patients.Methods: We retrospectively analyzed 55 infants with VSD who underwent cardiac surgery between March 2014 and April 2020. We evaluated the measurements of preoperative atrial/ventricular general function and 2D atrial/ventricular strain between these two groups: a group with postoperative PH (post-PH) and a group without postoperative PH (post-NPH). Results: Post-PH patients had a significantly lower tricuspid annular plane systolic excursion (TAPSE) (11.2 mm) and TAPSERA (the proportion of TAPSE due to RA contraction alone) (6.6 mm) than the post-NPH patients (14.1 mm, 8.5 mm). Furthermore, the post-PH group had a significantly lower peak right atrial (RA) longitudinal strain (PRALS) (31.0%) than the post-NPH group (43.0%). Multivariate logistic regression analysis identified that PRALS and TAPSERA were independent echocardiographic parameters for the presence of post-PH. The sensitivity and specificity of predicting post-PH for ≤38% of the PRALS were 83.0% and 100.0%, respectively, with an area under the curve of 0.94 (p < 0.01).Conclusion: Preoperative RA function and RV diastolic function decreased in the post-PH group. The RA strain and TAPSERA could be useful factors for predicting postoperative PH.

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Assessment of right atrial function with speckle tracking echocardiography after percutaneous closure of an atrial septal defect

Cited by 16 publications

References 24 publications

Evaluation of right ventricular myocardial strains by speckle tracking echocardiography after percutaneous device closure of atrial septal defects in children

Evaluation of right ventricular myocardial strains by speckle tracking echocardiography after percutaneous device closure of atrial septal defects in children

Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Predicting Postoperative Hypertension Among Patients With Ventricular Septal Defect in Infants

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