Surgical Repair of Atrial Septal Defect in Adult Patients.

VernacularTitle:成人心房中隔欠損症の検討
Author: Yasuyuki SUZUKI ; Yuzuru SAKAKIBARA ; Naotaka ATSUMI ; Tomoaki JIKUYA ; Tatsuo TSUTSUI ; Kenji OKAMURA ; Toshio MITSUI ; Motokazu HORI ; Hiroshi IJIMA
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 1992;21(5):452-457
CountryJapan
Language:Japanese
Abstract: Fifty-five adult patients with atrial septal defect (ASD) were surgically treated. In the preoperative study, 6 patients showed high pulmonary artery systolic pressure (>50mmHg). However, there was no linear relation between PAP and age, nor between Q_p/Q_s and PAP. As for the additional surgical procedures, MVR (1), MAP (1), TAP (3), OPC (2) were carried out with ASD closure in 7 patients. Post-operative evaluation with echocardiography revealed increase in the left ventricular chamber size, decrease in the severity of tricuspid regurgitation and same grade mitral regurgitation compaired with pre-operative level. From these data, the prediction of the atrioventricular valve regurgitation after ASD closure seemed to be difficult just from the preoperative evaluation, Transesophageal echocardiography was useful for the evaluation of residual atrioventricular valve regurgitation during operation in the cases of ASD with over II grade regurgitation preoperatively.