Clinical and echocardiographic assessment of a right-to-left shunt across an atrial septal defect secondary to tricuspid regurgitation

2001 ◽  
Vol 56 (4) ◽  
pp. 233-237 ◽  
Author(s):  
Miroslaw KOWALSKI ◽  
Piotr HOFFMAN ◽  
Hanna SIUDALSKA ◽  
Ewa JABUKOWSKA ◽  
Wanda RYDLEWSKA-SADOWSKA
Keyword(s):  
Atrial Septal Defect ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Echocardiographic Assessment

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 Echocardiographic assessment of Qp/Qs in children with atrial septal defect or partial anomalous pulmonary venous connection.

1981 ◽  
Vol 45 (6) ◽  
pp. 639-645 ◽  
Author(s):  
TADASHI UEDA ◽  
KUNIO UESAKA ◽  
KAZUMI SONO ◽  
TAKAKO FUJIWARA ◽  
KENYA NISHIOKA ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Echocardiographic Assessment ◽  
Anomalous Pulmonary Venous Connection

Atrial septal defect (secundum) with tricuspid regurgitation in a young adult cadaver

2014 ◽  
Vol 13 (2) ◽  
pp. 110
Author(s):  
VaishalyK Bharambe ◽  
ArchanaChirag Buch ◽  
NeeleshS Kanaskar ◽  
SapnaP Shevade
Keyword(s):  
Young Adult ◽  
Atrial Septal Defect ◽  
Tricuspid Regurgitation ◽  
Septal Defect ◽  
Adult Cadaver
Sign in / Sign up

Export Citation Format

Share Document