Surgical Treatment of Atrial Septal Defect in Adult: Clinical Review of 31 Cases / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 770-775, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-215469
ABSTRACT
BACKGROUND:
Atrial septal defect (ASD) is the most common congenital cardiac anomaly, accounting for 30 percent of congenital heart disease detected in the adult. Many patients with ASD are well tolerated and reach adult without significant symptoms. The patients with ASD die 4th and 5th decades, but prolonged survival is not uncommon. In general, the survival depends on whether pulmonary hypertension develops during adulthood or not. The most common cause of death in the patients with ASD is right ventricular failure or arrhythmias. MATERIALS ANDMETHODS:
From January 1988 to June 1997, 33 cases of ASD underwent open heart surgeries in our hospital. Among them, 31 cases were adult ASD, and 2 tricuspid regurgitation, 1 pulmonic stenosis, 1 mitral regurgitation, 1 tricuspid regurgitation, and 1 coronary artery disease were combinded. All of the patients underwent surgical repair using autologus pericardial patch or direct closure.RESULTS:
The postoperative course was smooth and uneventful. Most of the patients showed significant improvement in ECG finding, hemodynamic profile, radiologic finding, and echocardiography, after surgery.CONCLUSIONS:
Conclusively, most of the ASD should be closed even in patients over the age of 60 years, and early surgical repair must be done to prevent pulmonary hypertension, right ventricular failure, and arrythmias.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Arritmias Cardíacas
/
Estenose da Valva Pulmonar
/
Insuficiência da Valva Tricúspide
/
Doença da Artéria Coronariana
/
Ecocardiografia
/
Causas de Morte
/
Eletrocardiografia
/
Coração
/
Cardiopatias Congênitas
/
Defeitos dos Septos Cardíacos
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
1998
Tipo de documento:
Artigo
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