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2. Do patients over 40 years of age benefit from surgical closure of atrial septal defects?

Author

Jemielity, M, Dyszkiewicz, W, Paluszkiewicz, L, Perek, B, Buczkowski, P, and Ponizynski, A

Subjects
Atrial septal defects, Middle aged persons, Surgery, Health
Abstract

Abstract Objective--To determine the value of surgical closure of atrial septal defects in patients over 40 years of age. Methods--Retrospective analysis of 76 patients (63 women, 13 men), age range [...]

Published
2001

3. Do patients over 40 years of age benefit from surgical closure of atrial septal defects?

Author

Bartłomiej Perek, Piotr Buczkowski, Wojciech Dyszkiewicz, A. Ponizynski, Paluszkiewicz L, and Marek Jemielity

Subjects
Surgical repair, medicine.medical_specialty, Heart disease, business.industry, Retrospective cohort study, Atrial fibrillation, Interventional Cardiology Surgery, medicine.disease, Atrial septal defects, Intracardiac injection, Surgery, Vascularity, Internal medicine, medicine, Cardiology, cardiovascular system, In patient, cardiovascular diseases, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

OBJECTIVE—To determine the value of surgical closure of atrial septal defects in patients over 40 years of age. METHODS—Retrospective analysis of 76 patients (63 women, 13 men), age range 40-62 years (mean (SD) 45.8 (5.1) years), who underwent surgical repair of atrial septal defect. Pre- and postoperative clinical status (New York Heart Association (NYHA) functional class) was assessed, and ECG, x ray, and echocardiographic investigations performed. Follow up was between 1 and 17 years. RESULTS—One operative and one late death occurred during the study period. Before operation, 47 patients (61.8%) were in NYHA functional classes III and IV. After operation, 61 patients (82.4%) were in classes I and II. Four patients had atrial fibrillation before surgery versus nine after surgery. Before operation, 52 patients had intensified pulmonary vascularity compared with only seven after operation. Echocardiographic examination showed a significant reduction in right ventricular dimension (4.10 (0.91) v 2.95 (0.36) cm, p

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