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Titolo:
Masked left ventricular restriction in elderly patients with atrial septaldefects: A contraindication for closure?
Autore:
Ewert, P; Berger, F; Nagdyman, N; Kretschmar, O; Dittrich, S; Abdul-Khaliq, H; Lange, PE;
Indirizzi:
Deutsch Herzzentrum Berliner, Abt Angeborene Herzfehler, D-13353 Berlin, Germany Deutsch Herzzentrum Berliner Berlin Germany D-13353 3353 Berlin, Germany
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 52, anno: 2001,
pagine: 177 - 180
SICI:
1522-1946(200102)52:2<177:MLVRIE>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSCATHETER CLOSURE; EXPERIENCE; OCCLUDER;
Keywords:
restrictive left ventricular filling; atrial septal defect; balloon sizing; transcatheter closure; left ventricular diastolic function;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Ewert, P Deutsch Herzzentrum Berliner, Abt Angeborene Herzfehler, Augustenburger Pl1, D-13353 Berlin, Germany Deutsch Herzzentrum Berliner Augustenburger Pl 1 Berlin Germany D-13353
Citazione:
P. Ewert et al., "Masked left ventricular restriction in elderly patients with atrial septaldefects: A contraindication for closure?", CATHET C IN, 52(2), 2001, pp. 177-180

Abstract

The impact of an atrial septal defect in the elderly with reduced diastolic elasticity of the left ventricle is unclear. We studied the hemodynamic changes during balloon occlusion of atrial septal defects in patients over 60 years of age. In 18 patients (61-78 years old; median, 70), the left atrial pressure and the mitral valve inflow was measured during complete balloon occlusion of the defect and after deflation of the balloon. In seven patients, the left atrial pressure and the E/A ratio of the mitral valve inflowincreased markedly (P = 0.02). Mean atrial pressures reached values of 27 mm Hg and the v-wave peak values of 55 mm Hg. Two patients received a transcatheter device closure and developed congestive heart failure. In the elderly, an atrial septal defect can have a decompressive impact on the left ventricle. Therefore, caution appears to be warranted if atrial septal closure is planned. Cathet Cardiovasc Intervent 2001;52:177-180. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 21:30:02