scholarly journals Preoperative Pulmonary Arterial Pressure and Surgical Treatment of Secundum Atrial Septal Defect in Patients over 50 Years of Age.

1996 ◽  
Vol 25 (5) ◽  
pp. 285-289
Author(s):  
Yutaka Hasegawa ◽  
Susumu Ishikawa ◽  
Akio Ohtaki ◽  
Toru Takahashi ◽  
Hideaki Ichikawa ◽  
...  
2012 ◽  
Vol 23 (5) ◽  
pp. 692-696 ◽  
Author(s):  
Gregory J. Skinner ◽  
Robert M. Tulloh ◽  
Andrew J. Tometzki ◽  
Ingram Schulze-Neick ◽  
Gareth J. Morgan

AbstractThe presence of an atrial septal defect in pulmonary hypertension has benefits and detractions. Even in idiopathic pulmonary arterial hypertension, a significant left-to-right shunt at atrial level may increase the pulmonary arterial pressure and exacerbate the disease. However, it is well recognised that the presence of an atrial communication may be protective in subgroups with severe disease, allowing maintenance of cardiac output during times of increased pulmonary resistance. In the present paper, we present the case of a young boy with significant idiopathic pulmonary arterial hypertension and an atrial septal defect. We report our technique of septal occlusion using a device to decrease left-to-right shunting with concomitant stent insertion in that device to maintain the potential for right-to-left shunting during times of high pulmonary arterial pressure.


2014 ◽  
Vol 22 (4) ◽  
pp. 220
Author(s):  
In-Cheol Kim ◽  
Hyungseop Kim ◽  
Jeung-Eun Lee ◽  
Hyuck-Jun Yoon ◽  
Jae-Beom Kim ◽  
...  

2018 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
Citra Dewi Wahyu Fitria ◽  
Azhafid Nashar ◽  
Dyah Wulan Anggrahini ◽  
Anggoro Budi Hartopo ◽  
Hasanah Mumpuni ◽  
...  

Background: Secundum type atrial septal defect (ASD) is the most common adult congenital heart disease. Hemodynamically, ASD result in a left-to-right shunt that causes right heart volume overload. This condition affects interventricular septal position and shape. Left ventricular (LV) eccentricity index (EI) suggests right ventricle (RV) overload when this ratio is >1.0. The aim of this study was to assess correlation between LV EI and mean pulmonary arterial pressure (mPAP) in secundum type ASD patients. Methods: We conducted a cross sectional study from ASD patients registry data. We enrolled subjects with secundum type ASD from the complete registry data. The LV EI was calculated from transthoracal echocardiography. The mPAP was measured by right heart catheterization as a gold standart. The correlation was performed by Spearman correlation test. Results: There were 40 adult secundum type ASD patients participated. The mean LV EI in enddiastolic was 1.55±0.39 and LV EI in end-systolic was 1.75±0.58. The median value of mPAP was 29 (12-99) mmHg. There was a moderate strength, positive and significant correlation between LV EI in end-diastolic and mPAP (r=0.37, p=0.018). The correlation was more significant and stronger between LV EI in end-systolic and mPAP (r=0.52, p=0.001). Conclusion: There was sufficiently strong and significant correlation between LV EI in both end-diastolic and end-systolic phase with mPAP in adult secundum type ASD.


2017 ◽  
Vol 3 (2(S)) ◽  
pp. 22
Author(s):  
Jomanzyah MUA., et al

The Correlation Between Mean Pulmonary Arterial Pressure And NT-proBNP In AdultPatient With Uncorrected Atrial Septal Defect


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