Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study
Introduction: Adults with an atrial septal defect (ASD) have the third most frequent congenital heart disease. We aimed to determine the echocardiography findings after the defect closure in patients with ostium secundum ASD. Methods: We included patients who underwent the closure of ostium secundum...
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Tabriz University of Medical Sciences
2025-03-01
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| Series: | Journal of Cardiovascular and Thoracic Research |
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| Online Access: | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-27.pdf |
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| author | Leila Bigdelu Naser Nezhad Biglari Yoones Ghaderi Ali Azari Maryam Emadzadeh Mohsen Moohebati Nadia Azadi Vafa Baradaran Rahimi |
| author_facet | Leila Bigdelu Naser Nezhad Biglari Yoones Ghaderi Ali Azari Maryam Emadzadeh Mohsen Moohebati Nadia Azadi Vafa Baradaran Rahimi |
| author_sort | Leila Bigdelu |
| collection | DOAJ |
| description | Introduction: Adults with an atrial septal defect (ASD) have the third most frequent congenital heart disease. We aimed to determine the echocardiography findings after the defect closure in patients with ostium secundum ASD. Methods: We included patients who underwent the closure of ostium secundum ASD using trans-catheter or surgical procedures. All patients were subjected to transthoracic echocardiography at admission, one month, and six months following successful closure. The remaining shunt were measured using contrast echocardiography and none of our patients had the remaining shunt. Results: We evaluated 28 patients with a mean age of 35.67±11.55 years. Twelve (42.85%) individuals had trans-catheter, and 16 (57.14%) patients had surgical closure of ASD. After ASD closure, the left ventricular (LV) ejection fraction (P=0.02) , and LV end-diastolic diameter significantly increased while S’_TAPSE, right atrial (RA) area, RA volume, and pulmonary artery pressure (PAP) markedly diminished (P<0.001). During follow-up, RV size changes showed a significant decrease during one (17.93%) and six (25.78%) months (P<0.001 for both cases) and become normal following six months after the ASD closure. In addition, the RA/LA area ratio dropped by 24.31% during the first month and 33.17% after six months (P<0.001). In addition, the changes in measured echocardiographic parameters were not significantly different over time between the trans-catheter and surgical procedures. The decrease in S’_TAPSE was significantly greater in the surgical group than in trans-catheter closure. Conclusion: Closure of ostium secundum ASD dramatically decreased right cardiac chamber size and PAP while enhancing LV diameter and LV ejection fraction. |
| format | Article |
| id | doaj-art-1a05d65bcdde4600893c51620d01aef6 |
| institution | DOAJ |
| issn | 2008-5117 2008-6830 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Tabriz University of Medical Sciences |
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| series | Journal of Cardiovascular and Thoracic Research |
| spelling | doaj-art-1a05d65bcdde4600893c51620d01aef62025-08-20T02:57:12ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302025-03-01171273410.34172/jcvtr.025.32997jcvtr-32997Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up studyLeila Bigdelu0Naser Nezhad Biglari1Yoones Ghaderi2Ali Azari3Maryam Emadzadeh4Mohsen Moohebati5Nadia Azadi6Vafa Baradaran Rahimi7Vascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranVascular and Endovascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, IranClinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranIntroduction: Adults with an atrial septal defect (ASD) have the third most frequent congenital heart disease. We aimed to determine the echocardiography findings after the defect closure in patients with ostium secundum ASD. Methods: We included patients who underwent the closure of ostium secundum ASD using trans-catheter or surgical procedures. All patients were subjected to transthoracic echocardiography at admission, one month, and six months following successful closure. The remaining shunt were measured using contrast echocardiography and none of our patients had the remaining shunt. Results: We evaluated 28 patients with a mean age of 35.67±11.55 years. Twelve (42.85%) individuals had trans-catheter, and 16 (57.14%) patients had surgical closure of ASD. After ASD closure, the left ventricular (LV) ejection fraction (P=0.02) , and LV end-diastolic diameter significantly increased while S’_TAPSE, right atrial (RA) area, RA volume, and pulmonary artery pressure (PAP) markedly diminished (P<0.001). During follow-up, RV size changes showed a significant decrease during one (17.93%) and six (25.78%) months (P<0.001 for both cases) and become normal following six months after the ASD closure. In addition, the RA/LA area ratio dropped by 24.31% during the first month and 33.17% after six months (P<0.001). In addition, the changes in measured echocardiographic parameters were not significantly different over time between the trans-catheter and surgical procedures. The decrease in S’_TAPSE was significantly greater in the surgical group than in trans-catheter closure. Conclusion: Closure of ostium secundum ASD dramatically decreased right cardiac chamber size and PAP while enhancing LV diameter and LV ejection fraction.https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-27.pdfatrial septal defectechocardiographyventricularatrials’_tapse |
| spellingShingle | Leila Bigdelu Naser Nezhad Biglari Yoones Ghaderi Ali Azari Maryam Emadzadeh Mohsen Moohebati Nadia Azadi Vafa Baradaran Rahimi Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study Journal of Cardiovascular and Thoracic Research atrial septal defect echocardiography ventricular atrial s’_tapse |
| title | Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study |
| title_full | Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study |
| title_fullStr | Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study |
| title_full_unstemmed | Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study |
| title_short | Trans-thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect: A six-month follow-up study |
| title_sort | trans thoracic echocardiographic findings after the closure of ostium secundum atrial septal defect a six month follow up study |
| topic | atrial septal defect echocardiography ventricular atrial s’_tapse |
| url | https://jcvtr.tbzmed.ac.ir/PDF/jcvtr-17-27.pdf |
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