Should adult atrial septal defect cases be operated? Mid and late term results

Any significant difference of echocardiographic parameters other than ventricular diameters was not found between groups.The improvement in functional capacity increased the life quality of the patients.Conclusions: Morbidity and mortality was also not higher than that is in younger age group which may encourage us to operate the adult atrial septal defect cases.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: Atrial septal defect is one of the most commonly seen congenital cases.

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Key Findings & Data:Methods: A comparison between 32 patients over 40 years and 45 patients under 40 years old was made after a 5 years follow up.Results: Improvement in functional capacity was significant in adult Atrial septal defect cases.

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Conclusion & Impact:Any significant difference of echocardiographic parameters other than ventricular diameters was not found between groups.The improvement in functional capacity increased the life quality of the patients.Conclusions: Morbidity and mortality was also not higher than that is in younger age group which may encourage us to operate the adult atrial septal defect cases.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Background: Atrial septal defect is one of the most commonly seen congenital cases. In adulthood atrial septal defect is the most common congenital cardiac disease.The treatment approach to adult atrial septal defect cases is still debatable.The aim was to evaluate our results of adult atrial septal defect cases treated surgically. Methods: A comparison between 32 patients over 40 years and 45 patients under 40 years old was made after a 5 years follow up.Results: Improvement in functional capacity was significant in adult Atrial septal defect cases. No significant changes in rhytm were seen. Any significant difference of echocardiographic parameters other than ventricular diameters was not found between groups.The improvement in functional capacity increased the life quality of the patients.Conclusions: Morbidity and mortality was also not higher than that is in younger age group which may encourage us to operate the adult atrial septal defect cases.

Özet

Amaç: Atriyal septal defekt konjenital kalp hastalıkları arasında en sık görülen anomalilerden biridir. Erişkin hastalarda ise atriyal septal defekt en sık görülen konjenital kalp hastalığıdır ve bu hastalara tedavi yaklaşımı halen bazı tartışmalara konu olmaktadır. Bu çalışmanın amacı atriyal septal defektli erişkin hastaların operasyon sonuçlarını değerlendirmektir. Materyal ve Method: Otuziki erişkin hasta ortalama 5 yıl izlenerek klinik ve laboratuvar bulguları kaydedilip 40 yaş öncesi 45 hasta ile kıyaslandı.Bulgular: Erişkin hasta grubunda fonksiyonel kapasite düzelmesi istatiksel olarak oldukça anlamlı bulundu. Önemli ritm değişiklikleri tespit edilmedi. Bu hasta grubunda ventrikül çapları hariç ekokardiyografik olarak tespit edilen parametrelerde 45 yaş öncesi gruba göre farklılık tespit edilmedi. Tek başına fonksiyonel kapasitenin düzelmesi bile hastaların hayat standartında oldukça iyileşme sağladı.Sonuç: Genç yaş grubuna göre mortalite ve morbiditenin yüksek olmaması erişkin hastaların opere edilmeleri yönünde bizleri cesaretlendirmiştir.

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Cite This Article

DEMİRTAŞ, M., ÖZAY, B., SARGIN, M., ÇELİK, S., KETENCİ, B., ÇİMEN, S., YÜCEL, O., TESKİN, Ö. (2022). Should adult atrial septal defect cases be operated? Mid and late term results. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 13 - Sayı: 2, 115–119. https://ajindex.com/articles/425315

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