Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure
Background. Ventricular septal defect (VSD) is a prevalent congenital heart disease in children, occurring at a rate of 5.27 per 1000 live births. Transcatheter VSD closure is a potentially effective alternative to surgery, considering its less invasive nature, but may cause arrhythmia, aortic and t...
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Zaslavsky O.Yu.
2025-06-01
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| Series: | Zdorovʹe Rebenka |
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| Online Access: | https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1853 |
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| author | Alif Mutahhar Mahrus A. Rahman |
| author_facet | Alif Mutahhar Mahrus A. Rahman |
| author_sort | Alif Mutahhar |
| collection | DOAJ |
| description | Background. Ventricular septal defect (VSD) is a prevalent congenital heart disease in children, occurring at a rate of 5.27 per 1000 live births. Transcatheter VSD closure is a potentially effective alternative to surgery, considering its less invasive nature, but may cause arrhythmia, aortic and tricuspid regurgitation as possible complications. This study aims to determine the prevalence and the risk factors for arrhythmia, aortic, and tricuspid regurgitation following transcatheter VSD closure. Materials and methods. A cross-sectional study was conducted at the Dr. Soetomo Hospital from January 2017 to November 2024 in children with VSD following transcatheter closure. Bivariate analysis was done to determine the potential risk factors using Statistical Package for the Social Sciences software version 22.0. Results. The study involved 45 participants, mainly with normal nutritional status. The most common types of VSD were perimembranous and moderate-sized. Most participants didn’t have a history of pulmonary hypertension or heart failure. Post-procedure complications were arrhythmia (17.8 %), tricuspid regurgitation (13.3 %), and aortic regurgitation (11.1 %). No significant factors were found to increase the risk of complications following the intervention. Conclusions. Arrhythmia is the most common complication after VSD transcatheter closure, not influenced by socio-demographic and clinical characteristics as potential risk factors. Monitoring and follow-up care are crucial to identify any potential issues early, allowing for timely intervention. |
| format | Article |
| id | doaj-art-dbb2629f363b433fb59705c457ab62d3 |
| institution | Kabale University |
| issn | 2224-0551 2307-1168 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Zaslavsky O.Yu. |
| record_format | Article |
| series | Zdorovʹe Rebenka |
| spelling | doaj-art-dbb2629f363b433fb59705c457ab62d32025-08-20T03:56:42ZengZaslavsky O.Yu.Zdorovʹe Rebenka2224-05512307-11682025-06-0120429630310.22141/2224-0551.20.4.2025.18531853Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closureAlif Mutahhar0https://orcid.org/0009-0004-4831-3898Mahrus A. Rahman1https://orcid.org/0000-0001-5129-457XFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Child Health, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaBackground. Ventricular septal defect (VSD) is a prevalent congenital heart disease in children, occurring at a rate of 5.27 per 1000 live births. Transcatheter VSD closure is a potentially effective alternative to surgery, considering its less invasive nature, but may cause arrhythmia, aortic and tricuspid regurgitation as possible complications. This study aims to determine the prevalence and the risk factors for arrhythmia, aortic, and tricuspid regurgitation following transcatheter VSD closure. Materials and methods. A cross-sectional study was conducted at the Dr. Soetomo Hospital from January 2017 to November 2024 in children with VSD following transcatheter closure. Bivariate analysis was done to determine the potential risk factors using Statistical Package for the Social Sciences software version 22.0. Results. The study involved 45 participants, mainly with normal nutritional status. The most common types of VSD were perimembranous and moderate-sized. Most participants didn’t have a history of pulmonary hypertension or heart failure. Post-procedure complications were arrhythmia (17.8 %), tricuspid regurgitation (13.3 %), and aortic regurgitation (11.1 %). No significant factors were found to increase the risk of complications following the intervention. Conclusions. Arrhythmia is the most common complication after VSD transcatheter closure, not influenced by socio-demographic and clinical characteristics as potential risk factors. Monitoring and follow-up care are crucial to identify any potential issues early, allowing for timely intervention.https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1853arrhythmiaventricular septal defecttranscatheter closureaortic regurgitationtricuspid regurgitation |
| spellingShingle | Alif Mutahhar Mahrus A. Rahman Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure Zdorovʹe Rebenka arrhythmia ventricular septal defect transcatheter closure aortic regurgitation tricuspid regurgitation |
| title | Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| title_full | Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| title_fullStr | Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| title_full_unstemmed | Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| title_short | Risk factor analysis of arrhythmia, aortic, and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| title_sort | risk factor analysis of arrhythmia aortic and tricuspid regurgitation in children with ventricular septal defect following transcatheter closure |
| topic | arrhythmia ventricular septal defect transcatheter closure aortic regurgitation tricuspid regurgitation |
| url | https://childshealth.zaslavsky.com.ua/index.php/journal/article/view/1853 |
| work_keys_str_mv | AT alifmutahhar riskfactoranalysisofarrhythmiaaorticandtricuspidregurgitationinchildrenwithventricularseptaldefectfollowingtranscatheterclosure AT mahrusarahman riskfactoranalysisofarrhythmiaaorticandtricuspidregurgitationinchildrenwithventricularseptaldefectfollowingtranscatheterclosure |