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Titolo:
Do patients over 40 years of age benefit from surgical closure of atrial septal defects?
Autore:
Jemielity, M; Dyszkiewicz, W; Paluszkiewicz, L; Perek, B; Buczkowski, P; Ponizynski, A;
Indirizzi:
Karol Marcinkowski Univ Med, Inst Cardiol, Dept Cardiac Surg, Poznan, Poland Karol Marcinkowski Univ Med Poznan Poland Cardiac Surg, Poznan, Poland
Titolo Testata:
HEART
fascicolo: 3, volume: 85, anno: 2001,
pagine: 300 - 303
SICI:
1355-6037(200103)85:3<300:DPO4YO>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
STILL UNSETTLED ISSUE; NATURAL-HISTORY; FOLLOW-UP; ADULTS;
Keywords:
atrial septal defect; cardiac surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Jemielity, M Karol Marcinkowski Univ Med, Inst Cardiol, Dept Cardiac Surg,Poznan, Poland Karol Marcinkowski Univ Med Poznan Poland , Poznan, Poland
Citazione:
M. Jemielity et al., "Do patients over 40 years of age benefit from surgical closure of atrial septal defects?", HEART, 85(3), 2001, pp. 300-303

Abstract

Objective-To determine the value of surgical closure of atrial septal defects in patients over 40 years of age. Methods-Retrospective analysis of 76 patients (63 women, 13 men), age range 40-62 years (mean (SD) 45.8 (5.1) years), who underwent surgical repair of atrial septal defect. Pre- and postoperative clinical status (New York Heart Association (NYHA) functional class) was assessed, and EGG, x ray, and echocardiographic investigations performed. Follow up was between 1 and 17 years. Results-One operative and one late death occurred during the study period. Before operation, 47 patients (61.8%) were in NYHA functional classes III and IV. After operation, 61 patients (82.4%) were in classes I and II. Fourpatients had atrial fibrillation before surgery versus nine after surgery. Before operation, 52 patients had intensified pulmonary vascularity compared with only seven after operation. Echocardiographic examination showed a significant reduction in right ventricular dimension (4.10 (0.91) v 2.95 (0.36) cm, p < 0.001). No residual intracardiac shunts were identified on echocardiographic follow up. Conclusions-Surgical closure of atrial septal defects in patients over 40 years old can improve their clinical status and prevent right ventricular dilatation and insufficiency.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 17:21:12