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24-03-2022 | Echocardiography | Original Article

Mid-Term Outcome of Left Ventricle Reverse Remodeling After Atrial Septal Defect Closure: A Comparison Between Surgical and Device Groups

Authors: Muflih Albalawi, Salim Ahmad, Mohamed Al Nasef, Abdulmajeed Alotay, Najlaa Al Rajaa, Atif Alsahari, Irfan Saleem, Jassim Mohamed Abudlhamed

Published in: Pediatric Cardiology | Issue 7/2022

_Abstract

Right ventricular (RV) volume overload occurs in patients with significant atrial septal defect (ASD II) shunts, which can impair left ventricle (LV) filling, thus decreasing LV indices. However, after ASD II closure, the left ventricle regains near normal dimensions. The purpose of this study was to compare the long-term outcomes of LV reverse remodeling between device and surgical closure. We retrospectively reviewed the echocardiographic data of 222 patients with isolated ASD II who underwent surgical (95 patients) or device closure (127 patients) between January 2012 and December 2017. The ASD II was significantly larger in the surgical closure group (p < 0.001.) leading to a higher degree of paradoxical interventricular septal (IVS) movement. In contrast, the LV volume was larger in the device closure group (p < 0.001). After a median follow-up period of 19.5 months, the maximum LV systolic and diastolic volumes were reached at 1 year in the device closure group and 2 years in the surgical closure group. IVS motion normalized in 91% of the device closure group compared to 57% of the surgical closure group (p = < 0.001). There was significant improvement in left ventricular indices and IVS motion after ASD II closure in both groups but more favorable in patients after device closure.

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Title: Mid-Term Outcome of Left Ventricle Reverse Remodeling After Atrial Septal Defect Closure: A Comparison Between Surgical and Device Groups
Authors: Muflih Albalawi
Salim Ahmad
Mohamed Al Nasef
Abdulmajeed Alotay
Najlaa Al Rajaa
Atif Alsahari
Irfan Saleem
Jassim Mohamed Abudlhamed
Publication date: 24-03-2022
Publisher: Springer US
Keywords: Echocardiography
Echocardiography
Atrial Septal Defect
Atrial Septal Defect
Published in: Pediatric Cardiology / Issue 7/2022
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-022-02879-z

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