Document Detail


Echocardiographic and morphological evaluation of the right heart after closure of atrial septal defects.
MedLine Citation:
PMID:  18838023     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate echocardiographically the function and morphology of the right heart subsequent to transcatheter closure of atrial septal defects. METHODS: We performed echocardiographic studies in 73 patients undergoing transcatheter closure of atrial septal defects 1 day prior to closure, and then 3 days and 3 months after closure. We calculated the antero-posterior diameter of the right ventricle, the transverse diameter and length of the right atrium, the pulmonary arterial pressure, and the velocities of systolic movement and early and late diastolic movement of the basal parietal walls of the right ventricle. RESULTS: The atrial septal defects varied in size between 8 and 33 millimetres, and were closed using occluders measuring from 10 to 40 millimetres. At 3 days after closure, the antero-posterior diameter of the right ventricle, the transverse diameter and length of the right atrium, the pulmonary arterial pressure, and the velocities of mural motion were all significantly decreased. After 3 months, the size of the right heart had more or less normalized. CONCLUSIONS: Transcatheter closure of atrial septal defects produces marked improvement in the function and geometry of the chambers of the right heart, reducing pulmonary arterial pressure as well as abolishing the interatrial shunt.
Authors:
Pin Sun; Zhi-Bin Wang; Chuan-Jin Xu; Su-Min Yang; Lei Jiang
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Publication Detail:
Type:  Journal Article     Date:  2008-10-07
Journal Detail:
Title:  Cardiology in the young     Volume:  18     ISSN:  1467-1107     ISO Abbreviation:  Cardiol Young     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-18     Completed Date:  2009-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  593-8     Citation Subset:  IM    
Affiliation:
Department of Cardiac Ultrasound, Affiliated Hospital of Medical College, Qingdao University, China. sunnysunpin@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Atrial Function, Right / physiology*
Cardiac Surgical Procedures / methods
Child
Child, Preschool
China
Echocardiography, Doppler
Female
Heart Catheterization / methods
Heart Septal Defects, Atrial / pathology*,  surgery,  ultrasonography*
Humans
Male
Middle Aged
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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