Early and six-month assessment of bi-ventricular functions following surgical closure of atrial septal defect

Vijayvergiya, Rajesh; Singh, Jiten; Rana, Sandeep; Shetty, Raviraj; Mittal, Bhagwant Rai

doi:10.1016/j.ihj.2014.10.411

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…In concordance with our results, Vijayvergiya et al [22] Also had revealed a significant reduction in RV systolic function following 6 months of surgical closure of ASD, by comparing results for S' wave, (17.75±3.5) cm\s in open ASD vs (11.55±4.9) cm\s at one-month post-surgery vs 11.60±3.4 cm/s at 6-month post-surgery (p<0.001).…”

Section: Discussionsupporting

confidence: 94%

Two-dimensional Echocardiography in the Evaluation of Right Ventricular Systolic Function in Patients with Atrial Septal Defect before and after Closure

Shaban¹,

Kassem

Setiha

et al. 2022

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Background: Atrial septal defects lead to left to right shunt, the volume of the shunt is determined by RV/LV compliance, defect size, and LA/RA pressure. RV volume overload and pulmonary over circulation are caused by a simple ASD because the RV is more compliant than the LV. The aim of our study was to assess changes in RV systolic function before and after ASD closure either by surgery or transcatheter closure. Methods: This study was conducted on 70 patients diagnosed with ASD Secundum and had subdivided into two groups A (surgical closure) group, and B (percutaneous device closure) group. All patients had been assessed by transthoracic Echocardiography examination for RV systolic Function 24 h before ASD closure, and 6 months after closure. Results: There was a significant decrease in the right ventricle systolic function indices (TAPSE, FAC, Tissue Doppler S wave velocity, and global longitudinal free wall strain) after ASD closure either by surgery or by transcatheter device closure Conclusions: The right ventricle's size and function are affected by a large shunt caused by an ASD secudium. ASD and its consequent volume overload resulted in higher RV myocardial contraction, leading to an increase in strain values and RV systolic function indices, which were reduced and returned to normal values when the left-to-right shunt was eliminated, and the defect was closed.

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Section: Discussionsupporting

confidence: 94%

Two-dimensional Echocardiography in the Evaluation of Right Ventricular Systolic Function in Patients with Atrial Septal Defect before and after Closure

Shaban¹,

Kassem

Setiha

et al. 2022

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“…Preoperative severe right ventricle dilatation and dysfunction significantly decreased in postoperative period and there was no significant change in LV ejection fraction in both groups. This is similar to other studies 24, 25…”

Section: Discussionsupporting

confidence: 93%

Short-term outcomes after surgical versus trans catheter closure of atrial septal defects; a study from Iran

Askari

Soraya

Ayremlu

et al. 2018

The Egyptian Heart Journal

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ObjectivesAtrial Septal Defect (ASD) accounts for 10% of congenital cardiac defects. The purpose of this retrospective study was to compare the short-term outcomes of surgical versus trans catheter closure of secundum atrial septal defect.MethodsThis is a single-center retrospective cohort study in patients who had surgical or trans catheter ASD closure. ASD closure outcomes such as hospital cost, length of hospital and ICU stay, residual ASDs, complications, readmission, hospital and three month mortality were recorded and compared.ResultsBetween March 2010 and March 2016, total of 102 secundum ASD patients were treated in our center (71 patients surgical ASD closure and 31 patients trans catheter ASD closure). About 13.9% of patients (5/36) in the device group had failed procedural attempt for various reasons and these patients underwent surgery closure. Complete closure was observed in 26 of 31 patients (83.9%) in the device group and in 70 of 71 patients in the surgery group (98.6%). The mean length of hospital stay was 5.56 days for surgical group and 2.06 days for device group. The procedure cost for surgery was found to be 5.7% lower than trans catheter closure (patient payment). The complication rates were 18.3% for surgical group and 25.8% for the device group. Readmission after discharge was more common in surgery group (11.2 vs 6.4%). Hospital and three months mortality in both groups were zero.ConclusionsBoth trans catheter and surgical procedure are good methods of successful ASD closure. Considering that the surgical group patients were higher risk patients, mean total hospital cost of patient's procedures were significantly higher in device closure group, failed intervention rate and residual ASD were more common in device group and complications of device group were more serious; thus, appropriate patient selection is an important factor for successful device closure.

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“…Vijayvergiya et al. found a significant improvement in RV systolic function following surgical closure of ASD …”

Section: Discussionmentioning

confidence: 99%

Echocardiographic correlates of severe pulmonary hypertension in adult patients with ostium secundum atrial septal defect

et al. 2016

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Early and six-month assessment of bi-ventricular functions following surgical closure of atrial septal defect

Abstract: There was a significant improvement in RV systolic function and an insignificant change in RV and LV diastolic functions following surgical closure of ASD.

Cited by 7 publications

References 27 publications

Two-dimensional Echocardiography in the Evaluation of Right Ventricular Systolic Function in Patients with Atrial Septal Defect before and after Closure

Two-dimensional Echocardiography in the Evaluation of Right Ventricular Systolic Function in Patients with Atrial Septal Defect before and after Closure

Short-term outcomes after surgical versus trans catheter closure of atrial septal defects; a study from Iran

Echocardiographic correlates of severe pulmonary hypertension in adult patients with ostium secundum atrial septal defect

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