Different Determinants of Residual Tricuspid Regurgitation after Tricuspid Annuloplasty: Comparison of Atrial Septal Defect and Mitral Valve Prolapse

2009 ◽  
Vol 22 (8) ◽  
pp. 899-903 ◽  
Author(s):  
Manatomo Toyono ◽  
Shota Fukuda ◽  
A. Marc Gillinov ◽  
Gosta B. Pettersson ◽  
Yoshiki Matsumura ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Tricuspid Regurgitation ◽  
Mitral Valve Prolapse ◽  
Septal Defect ◽  
Tricuspid Annuloplasty

Surgical Strategy in Patients with Atrial Septal Defect and Severe Pulmonary Hypertension

2012 ◽  
Vol 15 (2) ◽  
pp. 111 ◽  
Author(s):  
Yang Hyun Cho ◽  
Tae-Gook Jun ◽  
Ji-Hyuk Yang ◽  
Pyo Won Park ◽  
June Huh ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Atrial Septal Defect ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Maze Procedure ◽  
Severe Pulmonary Hypertension ◽  
Tricuspid Annuloplasty ◽  
Pulmonary Arterial ◽  
Asd Closure

The aim of the study was to review our experience with atrial septal defect (ASD) closure with a fenestrated patch in patients with severe pulmonary hypertension. Between July 2004 and February 2009, 16 patients with isolated ASD underwent closure with a fenestrated patch. All patients had a secundum type ASD and severe pulmonary hypertension. Patients ranged in age from 6 to 57 years (mean � SD, 34.9 � 13.5 years). The follow-up period was 9 to 59 months (mean, 34.5 � 13.1 months). The ranges of preoperative systolic and pulmonary arterial pressures were 63 to 119 mm Hg (mean, 83.8 � 13.9 mm Hg) and 37 to 77 mm Hg (mean, 51.1 � 10.1 mm Hg). The ranges of preoperative values for the ratio of the pulmonary flow to the systemic flow and for pulmonary arterial resistance were 1.1 to 2.7 (mean, 1.95 � 0.5) and 3.9 to 16.7 Wood units (mean, 9.8 � 2.9 Wood units), respectively. There was no early or late mortality. Tricuspid annuloplasty was performed in 14 patients (87.5%). The peak tricuspid regurgitation gradient and the ratio of the systolic pulmonary artery pressure to the systemic arterial pressure were decreased in all patients. The New York Heart Association class and the grade of tricuspid regurgitation were improved in 13 patients (81.2%) and 15 patients (93.7%), respectively. ASD closure in patients with severe pulmonary hypertension can be performed safely if we create fenestration. Tricuspid annuloplasty and a Cox maze procedure may improve the clinical result. Close observation and follow-up will be needed to validate the long-term benefits.

scholarly journals Congenital Ostium Secundum Atrial Septal Defect with Mitral Valve Prolapse and Mitral Regurgitation – A Case Report and Review of Literature

2018 ◽  
Vol 12 (2) ◽  
pp. 91-94
Author(s):  
Md Aslam Hossain ◽  
Dharmendra Joshi ◽  
Mayank Acharya ◽  
Tareq Morshed ◽  
Omar Sadeque Khan ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Atrial Septal Defect ◽  
Mitral Valve Prolapse ◽  
Septal Defect ◽  
Dramatic Improvement ◽  
Review Of Literature ◽  
Secundum Atrial Septal Defect ◽  
Asd Closure ◽  
Symptoms And Signs

Mitral regurgitation (MR) associated with secundum Atrial Septal Defect (ASD) is not widely recognized but the association is not unusual. MR has been found in less than 10% of adults with large ASD which is mainly caused by mitral valve prolapse (MVP). We are reporting a case of congenital ostium secundum ASD with MVP associated with MR, review the clinical relevance of this association, and discuss the related literature. Our patient has shown dramatic improvement in symptoms and signs after ASD closure with mitral valve replacement along with improvement in tricuspid regurgitation. More general awareness of this association will further help the surgeon for better management of the patient with this rather unusual combination of lesions.University Heart Journal Vol. 12, No. 2, July 2016; 91-94

A Case of Turner's Syndrome Associated with Atrial Septal Defect and Mitral Valve Prolapse

1995 ◽  
Vol 25 (4) ◽  
pp. 875
Author(s):  
Jae Ung Lee ◽  
Kyung Soo Kim ◽  
Jeong Hyun Kim ◽  
Heon Kil Lim ◽  
Bang Hun Lee ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Atrial Septal Defect ◽  
Mitral Valve Prolapse ◽  
Septal Defect ◽  
Turner's Syndrome ◽  
Turner’S Syndrome
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