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[Symptomatic atrial septal defect in infancy (author's transl)]
Anales Espanoles De Pediatria
|January 1, 1981
Summary
This study highlights that isolated atrial septal defects causing congestive heart failure often require surgical intervention for improved outcomes. Early surgery is crucial for survival and normal development in affected children.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Isolated atrial septal defects (ASD), specifically ostium secundum type, can lead to significant clinical manifestations.
- Congestive heart failure is a notable symptom in pediatric patients with these defects.
Purpose of the Study:
- To present cases of isolated ostium secundum atrial septal defects.
- To evaluate the clinical presentation, diagnostic findings, and treatment outcomes.
Main Methods:
- Case series of seven patients with isolated ostium secundum ASD.
- Clinical evaluation, echocardiography, and cardiac catheterization with contrast angiography were utilized.
- Surgical intervention was compared to medical management.
Main Results:
- All patients presented with congestive heart failure, cardiomegaly, and right ventricular hypertrophy.
- Echocardiography revealed paradoxical interventricular septal movement and diastolic overflow.
- Five patients underwent surgery, showing significant clinical improvement and normal growth post-operatively.
Conclusions:
- Isolated ostium secundum ASD presenting with heart failure necessitates surgical correction.
- Early surgical intervention is vital for survival and achieving normal developmental trajectories in affected children.