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[The operated ASDI (author's transl)]
Insights
This study evaluated 37 children undergoing surgery for atrial septal defect primum. Postoperative outcomes focused on mortality, arrhythmias, and mitral valve function, using various diagnostic tools.
Area of Science:
- Cardiology
- Pediatric Surgery
Context:
- Atrial septal defect primum (ASDP) is a congenital heart condition requiring surgical intervention.
- Surgical outcomes in pediatric patients with ASDP, particularly those with associated valve clefts, require detailed assessment.
Purpose:
- To analyze the postoperative course of pediatric patients with ASDP.
- To evaluate mortality rates, incidence of arrhythmias, and mitral valve repair success post-surgery.
Summary:
- Thirty-seven children (aged 3 years 5 months to 14 years 9 months) between 1962-1979 with ASDP underwent surgical treatment.
- Outcomes were assessed using pre- and postoperative symptoms, ECG, PCG, chest X-ray, and echocardiography.
- Key metrics included mortality, postoperative arrhythmias, and functional restitution of the mitral valve.
Impact:
- Provides insights into surgical outcomes for a specific congenital heart defect in children.
- Highlights the importance of comprehensive postoperative monitoring for ASDP patients.
- Contributes to understanding long-term functional recovery after ASDP repair, especially with valve involvement.
Abstract:
The postoperative course of 37 children with atrial septal defect primum type with or without a cleft in the septal mitral or tricuspid valve, is traced. The mortality rate, the number of postoperative rhythmic disorders and the success of functional restitution of the mitral valve are emphasized. The number of patients between 1962-1979 was 37. The age was between 3 years and 5 month and 14 years and 9 month. As a parameter of success or failure of the operation the pre- and postoperative symptoms, the ECG and PCG, the X-ray of the chest and the postoperative echocardiogram were considered.