Late postoperative follow-up of ostium secundum defect.
| Autor: | Groundstroem KW; Departments of Medicine, Clinical Physiology, Tampere University Hospital, Tampere, Finland., Iivainen TE, Talvensaari T, Lahtela JT |
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| Jazyk: | angličtina |
| Zdroj: | European heart journal [Eur Heart J] 1999 Jun; Vol. 20 (12), pp. 904-9. |
| DOI: | 10.1053/euhj.1998.1349 |
| Abstrakt: | Aim: To perform late postoperative assessment of patients with ostium secundum defect. Methods: We studied 45 patients 22+/-4 years after operation using clinical examination, transthoracic and transoesophageal echocardiography and electrocardiography. Results: Patients operated on at 24 years reported dyspnoea upon exercise. Mitral regurgitation occurred more frequently in patients operated on at 24 years (29% vs 69%, P<0.05). Tricuspid regurgitation was mild in 20 patients (45%). There was an inter-atrial communication in 13 patients (28%). Eighteen patients (40%) had an enlarged right ventricular diameter. A tricuspid regurgitation gradient >30 mmHg was measured in seven patients (16%). Seventeen patients (38%) had significant electrocardiographic abnormalities. Conclusions: Late after uncomplicated seclusion of ostium secundum defect patients operated at >24 years have more symptoms than those operated on at an earlier age. Residual lesions are common. Mitral regurgitation is more frequent in patients operated on at >24 years. Our findings support the clinical consensus of operating on these patients in their childhood and adolescence. (Copyright 1999 The European Society of Cardiology.) |
| Databáze: | MEDLINE |
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