New pulmonary vein Doppler echocardiographic index predicts significant interatrial shunting in secundum atrial septal defect

Lam, Yat‐Yin; Fang, Fang; Yip, Gabriel Wai-Kwok; Li, Zhian; Yang, Yali; Yu, Cheuk‐Man

doi:10.1016/j.ijcard.2011.03.031

Cited by 12 publications

(5 citation statements)

References 24 publications

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“…We confirmed that the traditional parameters of atrial function, transmitral velocities of late wave (MV-A), ratios of systolic to diastolic pulmonary venous flow (PVF), and PVF of atrial reversal flow did not significantly decrease after ASD closure in both the ASD-D and ASD-S groups. 9,31,32) The evaluation of mitral Doppler flow and mitral annular motion suggested that atrial stiffness increased after device placement. 12,33) However, these parameters did not directly reflect atrial functions.…”

Section: Discussionmentioning

confidence: 99%

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

et al. 2020

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Percutaneous occlusion of atrial septal defect (ASD) has recently become a standard therapeutic strategy, but little is known about left atrial (LA) function thereafter. The present study aimed to determine LA function in 43 children with ASD and 13 controls based on LA strain measured by two-dimensional echocardiographic speckle tracking (2DE-ST). Among these children, 12 underwent surgery (ASD-S), 31 had device closure (ASD-D), and 13 were included as controls. LA strain was significantly decreased after ASD-D but was not significantly altered after ASD-S, indicating that percutaneous occlusion of an ASD might decrease LA function. Furthermore, the size of the ASD device negatively correlated with LA strain. These results imply that ASD occlusion devices negatively influence LA function and might be important when decided therapeutic strategies for ASD. LA strain measured by 2DE-ST should become a good indicator of LA function after ASD treatment in children.(Int Heart J 2020; 61: 83-88)

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Section: Discussionmentioning

confidence: 99%

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

et al. 2020

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“…In agreement with our study, they concluded that pre-closure S and D antegrade wave velocity increased and atrial reversal wave decreased in ASD patients. These findings return to normal after closure [16].…”

Section: Discussionmentioning

confidence: 72%

Alteration of Pulmonary Venous Flow Doppler Post Transcatheter Closure of Atrial Septal Defect

Gobran

El-Saied²,

El-Shedoudy³

et al. 2022

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Background: Atrial septal defect is a common congenital heart anomaly results in hemodynamically significant right ventriclular volume overload and an increase in the pulmonary venous flow. Aim: Evaluate changes of pulmonary venous flow parameters after transcatheter closure of secundum atrial septal defect. Patients and Methods: 50 patients with atrial septal defect aged from 3.5 to 31 years were included in the study. Pulmonary venous flow Doppler and right ventricular function were evaluated before and after successful transcatheter closure by transthoracic and transesophageal echocardiography. Results: The defect size ranged from 15 to 37mm with a mean (24.96 ±7.52), Normal systolic and diastolic waves of pulmonary venous flow Doppler were replaced by a continuous antegrade wave (mean 60±13.6 cm/s) in all atrial septal defect patients. Post-closure, the normal pulmonary venous flow pattern was regained, two separate waves, with a significant decrease in mean peak Systolic wave velocity (44.54±8.12 cm/sec vs 69.61±12.37, P=0.000), the mean peak Diastolic Wave velocity (55.85±9.81 cm/sec vs 72.65±10.38, P=0.000) and a significant increase in the mean peak atrial reversal wave velocity (28.75±4.63cm/sec vs 21.18±3.64, P=0.000). In multivariate regression analysis, significant predictors of haemodynamic significant ASD were ASD size,(odds ratio 1.508, P=0.007, 95% CI 1.153,2.671) and ASD/IAS ratio (odds ratio 2.313, P=0.001, 95% CI 1.064,3.104). Conclusions: Atrial septal defect patients have characteristic pulmonary venous flow pattern: continuous antegrade wave with systolic predominance and decrease in atrial reversal wave, which return to normal after closure. These changes could be helpful echocardiographic tool in prediction of successful closure of the defect.

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“…Pulmonary venous catheterization studies in patients with ASDs have depicted two different types of antegrade waveforms. 7,8 One was a waveform of two peaks with the first peak in late systole and the second peak in early diastole. The other was a waveform of one peak with a summit near the end of systole.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary Venous Doppler Flow Profile before and after Surgical Closure of Atrial Septal Defect in Children

Gadhinglajkar¹,

Sreedhar²,

Menon³

et al. 2013

Journal of Perioperative Echocardiography

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Objectives: A secundum atrial septal defect is associated with a characteristic pattern of continuous antegrade wave on a pulmonary venous Doppler flow profile. It is replaced with a regular S and D wave after the closure of defect. Although, a few published reports have described these features in adults, there are not enough studies in pediatric patients under anesthesia. Setting: A tertiary referral center.Participants: A total of 12 children with uncomplicated secundum atrial septal defect participated in the evaluation process.Interventions: After anesthesia induction, three of them were excluded from detailed pulmonary venous study as they did not satisfy selection criteria. In remaining nine children, the intraoperative pulmonary venous Doppler changes were assessed before and after the defect closure, manually tracing the pulmonary venous waveforms. Measurements and main results:The antegrade wave was observed in 9/9 patients before surgery that characteristically lacked distinct systolic and diastolic waves, although in seven patients, a larger systolic peak and a smaller diastolic peak were identified.Normal S and D waves were seen after termination of cardiopulmonary bypass with S/D ratio >1 in all cases. The maximum velocity of atrial retrograde wave increased and heart rate decreased significantly after surgery. Conclusion:The continuous antegrade wave is a consistent pulmonary venous Doppler feature of an uncomplicated secundum ASD in anesthetized children. The Doppler pattern is normalized immediately after termination of cardiopulmonary bypass.

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New pulmonary vein Doppler echocardiographic index predicts significant interatrial shunting in secundum atrial septal defect

Cited by 12 publications

References 24 publications

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Alteration of Pulmonary Venous Flow Doppler Post Transcatheter Closure of Atrial Septal Defect

Pulmonary Venous Doppler Flow Profile before and after Surgical Closure of Atrial Septal Defect in Children

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