Document Detail

Surgical repair for atrial septal defect in patients over 70 years of age.
MedLine Citation:
PMID:  9462417     Owner:  NLM     Status:  MEDLINE    
Atrial septal defect (ASD) is the most common congenital heart anomaly encountered in adults. For patients over 60 years old, acceptable operative mortality and symptomatic improvement following surgery have been reported. We reviewed patients with ASD aged over 70 years and studied their preoperative hemodynamics, the surgical procedures used and the results. Between January 1994 and December 1996, 18 patients over the age of 40 years underwent surgical repair of ASD. Four patients were over 70 years of age (Group A). The other 14 patients were studied as a control group (Group B). We compared the preoperative clinical status, hemodynamic data, and surgical results between the two groups. The postoperative clinical status of Group A was studied during the follow-up period. The NYHA functional class of the elderly patients was greater than that of the middle-aged patients. None of the elderly patients had pulmonary hypertension. Moderate or severe tricuspid valve regurgitation (TR) due to annular dilatation was found, and tricuspid annuloplasty was performed in all four elderly patients. There were no operative or hospital deaths in either group. The NYHA functional class and TR improved in all the aged patients after surgery. In order to prevent progressive tricuspid annular dilatation due to an intraatrial left to right shunt, surgical closure of ASD should be performed for physically active adult patients.
K Miyaji; A Furuse; O Tanaka; H Kubota; M Ono; M Kawauchi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  38     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1998-02-24     Completed Date:  1998-02-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  677-84     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Japan.
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MeSH Terms
Blood Pressure
Cardiac Surgical Procedures*
Follow-Up Studies
Heart Septal Defects, Atrial / physiopathology,  surgery*
Middle Aged
Postoperative Period

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