Late postoperative follow-up of ostium secundum defect
Summary
This summary is machine-generated.Late surgery for ostium secundum defects in adults leads to more symptoms and mitral regurgitation compared to childhood operations. Early surgical intervention is recommended for better long-term outcomes in atrial septal defect patients.
Area Of Science
- Cardiology
- Pediatric Cardiology
- Cardiac Surgery
Background
- Ostium secundum defects are common congenital heart abnormalities.
- Timely surgical intervention is crucial for preventing long-term complications.
Purpose Of The Study
- To assess long-term outcomes in adult patients following surgical repair of ostium secundum defects.
- To evaluate the impact of age at surgery on late postoperative results.
Main Methods
- A cohort of 45 patients underwent late postoperative assessment (22+/-4 years post-op).
- Methods included clinical examination, transthoracic and transesophageal echocardiography, and electrocardiography.
Main Results
- Patients operated on after 24 years old reported more dyspnea upon exercise (65%) compared to those operated on earlier.
- Increased prevalence of mitral regurgitation (69%) was observed in patients operated on after 24 years.
- Residual lesions, including inter-atrial communication (28%) and tricuspid regurgitation (45%), were common.
Conclusions
- Late surgical repair of ostium secundum defects is associated with increased symptoms and mitral regurgitation.
- Early surgical intervention in childhood or adolescence is supported by these findings.
- Residual cardiac lesions are frequent, necessitating long-term follow-up.
View abstract on PubMed