Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Jeong-Sook Seo; Young-Ah Park; Jin Hong Wi; Han-Young Jin; Il-Yong Han; Jae-Sik Jang; Tae-Hyun Yang; Dae Kyeong Kim; Dong-Soo Kim

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자료유형: 학술저널

저자정보: Jeong-Sook Seo (Inje University Busan Paik Hospital) Young-Ah Park (Inje University Busan Paik Hospital) Jin Hong Wi (Inje University Busan Paik Hospital) Han-Young Jin (Inje University Busan Paik Hospital) Il-Yong Han (Inje University Busan Paik Hospital) Jae-Sik Jang (Inje University Busan Paik Hospital) Tae-Hyun Yang (Inje University Busan Paik Hospital) Dae Kyeong Kim (Inje University Busan Paik Hospital) Dong-Soo Kim (Inje University Busan Paik Hospital)

저널정보: 한국심초음파학회 Journal of Cardiovascular Imaging Journal of Cardiovascular Imaging 제29권 제2호

발행연도: 2021.1

수록면: 123 - 132 (10page)

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BACKGROUND: Studies comparing left atrial (LA) function after surgical closure or percutaneous closure in patients with an atrial septal defect (ASD) are lacking. METHODS: Between 1 and 3 years after ASD treatment, we retrospectively analyzed the medical records and transthoracic echocardiographic images of patients who had been diagnosed with an ASD after 20 years of age and who had undergone surgical closure (ASD-S) or percutaneous device closure (ASD-D). We measured LA peak systolic, early diastolic, and late diastolic strain values using 2-dimensional (2D) speckle tracking echocardiography (STE) and calculated reservoir, conduit, and contraction strain. RESULTS: The reservoir strain value of the ASD-D groups was 25.2% ± 7.4%, which was lower compared to the control group (33.6% ± 5.5%) (p = 0.004). The LA conduit strain and the LA contraction values of the ASD-D group were also lower compared to the control group (?13.8% ± 5.8% vs. ?20.4% ± 4.7%, p = 0.034; ?11.3% ± 4.2% vs. ?13.2% ± 2.5%, p = 0.037, respectively). The reservoir, conduit, and contraction strains of the ASD-S group were 27.8% ± 8.8%, ?15.3% ± 6.4%, and ?12.5% ± 5.8%, respectively, and were not different from those of the control group or the ASD-D group. CONCLUSIONS: The 2D STE is a suitable method for evaluating LA function after ASD closure. Our results demonstrate that 1 year after device closure, the LA reservoir, conduit and contraction function were reduced in ASD-D group compared to healthy controls, while there was no difference between the ASD-S and ASD-D groups.

#Left atrial function #Strains #Atrial septal defect #Devices #Surgery

참고문헌 (30)

참고문헌 신청

Hoffman JI / 2002 / The incidence of congenital heart disease / J Am Coll Cardiol 39:1890~1900

Stout KK / 2019 / 2018 AHA/ACC guideline for the management of adults with congenital heart disease : executive summary : a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines / J Am Coll Cardiol 73:1494~1563

Oster M / 2019 / Interventional therapy versus medical therapy for secundum atrial septal defect: a systematic review (part 2) for the 2018 AHA/ACC guideline for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines / Circulation 139:e814~e0

Thomson JD / 2002 / Surgical and transcatheter(Amplatzer)closure of atrial septal defects : a prospective comparison of results and cost / Heart 87:466~469

Du ZD / 2002 / Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults : results of a multicenter nonrandomized trial / J Am Coll Cardiol 39:1836~1844

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Jeong-Sook Seo

소속기관 인제대학교

주요연구분야 의약학 > 임상의학 > 내과학

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Young-Ah Park