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Related Experiment Video

Updated: Sep 23, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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Atrial Function Impairments after Pediatric Cardiac Surgery Evaluated by STE Analysis.

Massimiliano Cantinotti¹, Pietro Marchese^1,2, Marco Scalese³

¹Fondazione G. Monasterio CNR-Regione Toscana, 54100 Massa, Italy.

Journal of Clinical Medicine

|May 14, 2022

Summary

Pediatric cardiac surgery significantly reduces atrial strain (ε) in children, with limited recovery post-operation. Atrial and ventricular strain values correlate after surgery.

Keywords:

STE echocardiography atria congenital heart disease pediatric cardiac surgery

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Published on: October 20, 2016

Area of Science:

Cardiology
Pediatric Cardiac Surgery
Echocardiography

Background:

Atrial speckle tracking echocardiography (STE) strain (ε) analysis has limited application in pediatric cardiac surgery.
Assessing atrial function post-surgery is crucial for understanding recovery and outcomes.

Purpose of the Study:

To evaluate the feasibility of atrial STE strain (ε) analysis in children post-cardiac surgery.
To track the progression of atrial strain (ε) values over post-operative time.

Main Methods:

Prospective enrollment of 131 children undergoing cardiac surgery.
Echocardiographic examinations including atrial STE strain (ε) analysis (P- and R-Gating) pre- and post-operatively.
Comparison with 131 age-matched healthy controls.

Main Results:

All assessed atrial STE strain (ε) parameters were significantly lower in post-operative patients compared to controls (p < 0.0001).
Lowest atrial strain (ε) values occurred 24-36 hours post-surgery, with only partial recovery observed.
Atrial strain (ε) values at discharge remained lower than controls; significant correlations found with bypass time, ventricular strain (ε), and ejection fraction.

Conclusions:

Atrial strain (ε) is significantly reduced following pediatric cardiac surgery, with limited short-term recovery.
Post-surgical atrial and ventricular strain (ε) responses are correlated, suggesting a systemic impact on cardiac function.