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

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 postop...

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Bibliographic Details
Published in:British heart journal 2001-03, Vol.85 (3), p.300-303
Main Authors: Jemielity, M, Dyszkiewicz, W, Paluszkiewicz, L, Perek, B, Buczkowski, P, Poniz˙yński, A
Format: Article
Language:English
Subjects:
Adult
Age Factors
Anticoagulants
Arrhythmias, Cardiac - etiology
atrial septal defect
Atrial septal defects
Biological and medical sciences
cardiac surgery
Cardiology. Vascular system
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Defects
Dyspnea
Female
Heart
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - mortality
Heart Septal Defects, Atrial - physiopathology
Heart Septal Defects, Atrial - surgery
Heart Ventricles - anatomy & histology
Heart Ventricles - diagnostic imaging
Humans
Interventional Cardiology Surgery
Ischemia
Male
Medical sciences
Middle Aged
Middle aged persons
Patient Satisfaction
Patients
Retrospective Studies
Surgery
Thromboembolism
Ultrasonography
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Summary: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 
ISSN:1355-6037
0007-0769
1468-201X
DOI:10.1136/heart.85.3.300