Surgical treatment of isolated secundum atrial septal defect in patients more than 50 years old
| Autor: | Yamagishi I, Yoshiki Shibata, Tadaaki Abe, Seki K, Jyotirmay Chanda, Ryosei Kuribayashi, Satoshi Sekine |
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| Rok vydání: | 1996 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Heart disease Septum secundum Dehiscence Heart Septal Defects Atrial Postoperative Complications Internal medicine medicine Humans In patient cardiovascular diseases Contraindication Stroke Aged Vascular disease business.industry Age Factors Middle Aged medicine.disease Surgery Hemiparesis Echocardiography Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 62:1096-1099 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/0003-4975(96)00395-5 |
| Popis: | Background. Arrhythmia-related thromboembolic accidents continue to occur in patients even after closure of secundum atrial septal defect. Older age is usually not a contraindication to the repair of an atrial septal defect. To assess the importance of the type of management in elderly patients with atrial septal defect our clinical experience is reviewed. Methods. Between 1974 and 1994, 49 patients 50 years of age or older (average, 57.4 years) underwent surgical closure of secundum atrial septal defect. All patients have been followed up for 2 to 21 years (mean, 9.7 years). Results. There were no operative deaths. Functional classes in most of the patients were improved after operation. There were two cerebrovascular thromboembolic accidents with one permanent neurologic dysfunction, hemiparesis, and one septal dehiscence in the early postoperative period. One patient (2%) died of renal failure 6 years after operation, late arrhythmias developed in 3 patients (6%), 3 patients had a late stroke (6%), and 1 patient was not available for follow-up. Conclusions. Long-term operative results are satisfactory and beneficial to the quality of life in elderly patients. Because there is no safe and effective nonsurgical alternative to surgical closure, atrial septal defect repair in elderly patients without severe pulmonary vascular disease should not be delayed once the diagnosis had been made. |
| Databáze: | OpenAIRE |
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