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Immediate and Short-term Changes in Left Ventricular Function in Children Undergoing Percutaneous Closure of Patent Ductus Arteriosus by Echocardiography and Tissue Doppler

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Last updated: 03 Jan 2025

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Abstract

Background: Patent ductus arteriosus accounts for 5–10% of all congenital heart diseases. Left-to-right shunting through the PDA results in pulmonary over-circulation and left heart volume overload. Transcatheter closure is the method of choice for PDA closure when suitable. Some previous studies have described an immediate deterioration of left ventricular functions after percutaneous closure of PDA, which is reversible and improves after few months. Purpose: This study aimed to determine the immediate and short-term changes in the left ventricular function in children with patent ductus arteriosus after percutaneous closure using 2D echocardiography and tissue doppler imaging. Patients and Methods: Thirty children with isolated PDA were treated by trans-catheter closure were studied. The LV dimensions, volumes and systolic function were assessed by two-dimensional echocardiography and tissue Doppler imaging before the PDA closure, on day 1 and after one month. Results: The median age of the patients was 4.25 years and mean BSA was 0.73 ± 0.31 m2, with the mean PDA diameter of 2.53 ± 0.60 mm. The LVEDD, LVESD, left atrium diameter, ejection fraction and LVEDV reduced significantly immediately after PDA closure (p < 0.001). After 1 month, LVEDD, LVESD and LAD continued to decrease, while ejection fraction improved significantly. All tissue Doppler velocities showed a significant decrease immediately after closure with significant increase of MPI (p < 0.001) and then were improved within 1 month. Conclusion: percutaneous closure of PDA was associated with reversible significant decrease in the left ventricular systolic and diastolic functions, which recovered after one month.

DOI

10.21608/ejhm.2018.9121

Keywords

Left Ventricular Function, Echocardiography and tissue Doppler, patent ductus arteriosus

Authors

First Name

Ahmed M.

Last Name

Hassan

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Ain Shams University

Email

dr.ahmed.magdy@aol.com

City

-

Orcid

-

First Name

Hebatallah M.

Last Name

Attia

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Ain Shams University

Email

-

City

-

Orcid

-

First Name

Dina

Last Name

A.E. El Din

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine, Ain Shams University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

3

Related Issue

1778

Issue Date

2018-07-01

Receive Date

2018-07-15

Publish Date

2018-07-01

Page Start

4,085

Page End

4,092

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 3_Pages 4085-4092.pdf

PDF . 338.1kB

Link

https://ejhm.journals.ekb.eg/article_9121.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9121

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Immediate and Short-term Changes in Left Ventricular Function in Children Undergoing Percutaneous Closure of Patent Ductus Arteriosus by Echocardiography and Tissue Doppler

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Type

Article

Created At

22 Jan 2023