Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect
| Autor: | Il Yong Han, Tae Hyun Yang, Jae-Sik Jang, Han Young Jin, Young-Ah Park, Dae Kyeong Kim, Jin Hong Wi, Jeong Sook Seo, Dong-Soo Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Percutaneous Adult patients business.industry Contraction function Strains Speckle tracking echocardiography Late diastolic behavioral disciplines and activities Left atrial Internal medicine mental disorders Cardiology Atrial septal defect Devices Early diastolic Medicine Radiology Nuclear Medicine and imaging In patient Original Article Surgery Cardiology and Cardiovascular Medicine business Left atrial function |
| Zdroj: | Journal of Cardiovascular Imaging |
| ISSN: | 2586-7296 2586-7210 |
| Popis: | Background Studies comparing left atrial (LA) function after surgical closure or percutaneous closure in patients with an atrial septal defect (ASD) are lacking. Methods Between 1 and 3 years after ASD treatment, we retrospectively analyzed the medical records and transthoracic echocardiographic images of patients who had been diagnosed with an ASD after 20 years of age and who had undergone surgical closure (ASD-S) or percutaneous device closure (ASD-D). We measured LA peak systolic, early diastolic, and late diastolic strain values using 2-dimensional (2D) speckle tracking echocardiography (STE) and calculated reservoir, conduit, and contraction strain. Results The reservoir strain value of the ASD-D groups was 25.2% ± 7.4%, which was lower compared to the control group (33.6% ± 5.5%) (p = 0.004). The LA conduit strain and the LA contraction values of the ASD-D group were also lower compared to the control group (-13.8% ± 5.8% vs. -20.4% ± 4.7%, p = 0.034; -11.3% ± 4.2% vs. -13.2% ± 2.5%, p = 0.037, respectively). The reservoir, conduit, and contraction strains of the ASD-S group were 27.8% ± 8.8%, -15.3% ± 6.4%, and -12.5% ± 5.8%, respectively, and were not different from those of the control group or the ASD-D group. Conclusions The 2D STE is a suitable method for evaluating LA function after ASD closure. Our results demonstrate that 1 year after device closure, the LA reservoir, conduit and contraction function were reduced in ASD-D group compared to healthy controls, while there was no difference between the ASD-S and ASD-D groups. |
| Databáze: | OpenAIRE |
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