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[Surgery in children with atrial septal defects without cardiac catheterization]
S J Velázquez-Rosas1, H Santamaría-Díaz, M Gómez-Gómez
1Hospital de Cardiología y Neumología Luis Méndez, Centro Médico Nacional del Instituto Mexicano del Seguro Social, D.F.
Archivos Del Instituto De Cardiologia De Mexico
|September 1, 1988
Summary
Surgical repair of atrial septal defects in children is feasible without cardiac catheterization. Echocardiography effectively visualizes defects, enabling successful surgical outcomes and recovery.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Context:
- Atrial septal defects (ASDs) are common congenital heart conditions in children.
- Preoperative cardiac catheterization is traditionally used for diagnosis and planning.
- This study evaluates surgical outcomes without this invasive procedure.
Purpose:
- To assess the feasibility and safety of surgical repair for ASDs in children without preoperative cardiac catheterization.
- To determine the diagnostic accuracy of non-invasive imaging modalities, particularly echocardiography.
- To report surgical findings and patient recovery in this cohort.
Summary:
- This study reviewed 36 children undergoing surgical repair of ostium secundum atrial septal defects, with 34 cases (94.4%) confirmed during surgery.
- All patients, aged 3-13 years, had typical auscultatory findings and underwent successful surgery without prior cardiac catheterization.
- Preoperative M-mode and 2D echocardiography accurately visualized defects, showing right ventricular dilatation in all and paradoxical septal motion in 72.2%.
Impact:
- Demonstrates that cardiac catheterization is not essential for surgical repair of typical ASDs in children.
- Highlights the crucial role of echocardiography in diagnosing and guiding surgical intervention for ASDs.
- Supports a less invasive diagnostic approach, potentially reducing healthcare costs and patient risk.