196421

IMPACT OF TRANSCATHETER CLOSURE OF ATRIAL SEPTAL DEFECT ON RIGHT VENTRICULAR SIZE AND FUNCTION BY ECHOCARDIOGRAPHY

Article

Last updated: 04 Jan 2025

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-

Tags

Cardiology

Abstract

Background: Percutaneous atrial septal defect (ASD) device closure is a safe and effective means of reducing or eliminating interatrial shunting. The response of the right heart to device closure is incompletely understood. Objective: To evaluate the effects of transcatheter closure of secundum ASD on right ventricle size and function, that is, both systolic and diastolic by transthoracic echocardiography (TTE) over a 6 month period. Patients and Methods: One hundred patients had 100 device implantations. The patients were assessed with echocardiography before, at 1 and 6 months after procedure, at Bab Al-Shaareya Hospital of Al-Azhar University, and National Heart Institute, Egypt during the period from April 2017 to October 2019. Results: Mean age was (12.62±11.39 years). Maximum ASD size indexed to body surface area (BSA) was (Mean±SD=17.88±5.08 mm/m2). The device size ranged from 11 mm to 31 mm. There was significant decrease from baseline to 1 month and baseline to 6 months after closure In the following indexed parameters: RV basal, mid, longitudinal diameters I, RV end diastolic area I, RV/LV end diastolic dimension ratio, RA end systolic area I and Estimated systolic pulmonary artery pressure (ESPAP), Also parameters of RV systolic functions such as; tricuspid annular plane systolic excursion (TAPSE), tricuspid annular systolic velocity (TASV or S/) and fractional area change (FAC%), and diastolic dysfunction parameters; E/A and E/e/, (p=0.001). while RV index of myocardial performance (RIMP) showed significant reduction at one month (0.39±0.03 vs. 0.35±0.02; p=0.001) and non-significant change at six months in comparison to baseline (p=0.083). Conclusion: RV volumes decreased significantly in the first month after ASD device closure and continued up to 6 months. There was no change in global right ventricular systolic function but a high basal RV systolic function decreased after closure. Some patients had impaired diastolic function before closure of defect, which reversed to normal within 6 months after closure.

DOI

10.21608/amj.2021.196421

Keywords

Atrial Septal Defect, right atrium, Right Ventricle

Authors

First Name

Hatem

Last Name

Al-Samman Mohammed

MiddleName

-

Affiliation

Departments of Cardiology, Faculty of Medicine, Al-Azhar University

Email

dr_hatem_2004@yahoo.com

City

-

Orcid

-

First Name

Sameh

Last Name

Refat Hassan Allam

MiddleName

-

Affiliation

Departments of Cardiology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Meawad Al-Emam

MiddleName

-

Affiliation

Department of Cardiology, National Heart Institute

Email

-

City

-

Orcid

-

First Name

Mohammad

Last Name

Ismail Al-Deftar

MiddleName

-

Affiliation

Departments of Cardiology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Ashraf

Last Name

Abd-Almonem Sayed Ahmed

MiddleName

-

Affiliation

Departments of Clinical Pathology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

50

Article Issue

4

Related Issue

27826

Issue Date

2021-10-01

Receive Date

2021-09-27

Publish Date

2021-10-01

Page Start

2,783

Page End

2,798

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_196421.html

Detail API

https://amj.journals.ekb.eg/service?article_code=196421

Order

38

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

IMPACT OF TRANSCATHETER CLOSURE OF ATRIAL SEPTAL DEFECT ON RIGHT VENTRICULAR SIZE AND FUNCTION BY ECHOCARDIOGRAPHY

Details

Type

Article

Created At

22 Jan 2023