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Updated: May 10, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Clinical outcomes of surgically corrected atrial septal defects
Waleed Tariq Siddiqui1, Shazia Parveen, Maria Tariq Siddiqui
1Sindh Medical College, Dow University of Health Sciences, Karachi.
Insights
Surgical repair of atrial septal defects (ASD) is a safe and effective procedure for both children and adults. This study found excellent outcomes with low morbidity following ASD surgical correction.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Adult Congenital Heart Disease
Background:
- Atrial septal defects (ASDs) are congenital heart conditions requiring surgical intervention.
- Evaluating surgical outcomes is crucial for patient management.
Purpose of the Study:
- To assess the results of surgical ASD repair in pediatric and adult populations.
- To determine the safety and efficacy of surgical ASD correction.
Main Methods:
- Retrospective analysis of 84 patients undergoing surgical ASD repair (June 2006-December 2011).
- Inclusion of isolated ASD types (ostium secundum, primum, sinus venosus).
- Review of clinical and echocardiographic data; statistical analysis using SPSS 17.
Main Results:
- No mortality observed in the study cohort.
- 95.2% of patients achieved New York Heart Association class I post-operatively.
- Low morbidity with 9.5% experiencing arrhythmias and 3.57% re-admissions (wound infection, cardiac tamponade).
Conclusions:
- Surgical repair of atrial septal defects is a safe procedure.
- The study demonstrates excellent clinical outcomes and low morbidity rates.
- Surgical ASD correction is associated with significant patient improvement.
Objective:
To examine the outcomes of surgical repair of atrial septal defects in paediatric and adult patients.
Methods:
The retrospective study comprised data of 84 patients who had undergone surgical correction of atrial septal defect at the Aga Khan University Hospital, Karachi, between June 2006 and December 2011. All patients with isolated atrial septal defect (ostium secundum, ostium primum and sinus venosus with or without partial anomalous pulmonary venous connection) were included. Clinical and transthoracic echocardiographic data was reviewed. SPSS 17 was used for statistical analysis.
Results:
There were no deaths in the study population. The mean time for follow-up was 6.5 +/- 9.9 months. Most of the patients (n = 80; 95.2%) were in NewYork Heart Association class I at follow-up, while the remaining 4 (4.8%) were in New York Heart Association class II. Post-operatively, 8 (9.5%) patients developed brief episodes of arrhythmias. There were 3 (3.57%) patients who were re-admitted within 30 days; 2 (66.7%) had superficial wound infection, while 1 (33.3%) had to be re-opened because of cardiac tamponade.
Conclusion:
Surgical repair of atrial septal defects is a safe procedure which is associated with excellent results and low morbidity.
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