Editorial
Do patients over 40 years of age benefit from closure of an atrial septal defect?
| The first 150 words of the full text of this article appear below. |
There
are few topics in adult congenital heart disease as persistently
debated as the management of atrial septal defects (ASDs). The paper by
Jemielity and colleagues in this issue of Heart reactivates these fires.1
Their retrospective study includes 88 largely symptomatic patients who
received surgical closure of secundum and sinus venosus ASDs. Their age
range at surgery was 40-62 years, with a mean of 46 years. They were
followed for 1-17 years, mean 6.9 years. There was only one operative
death. Functional class improved strikingly from 62% in New York Heart Association (NYHA) functional class III and IV preoperatively to 82%
in NYHA class I and II postoperatively. Pulmonary vascularity improved
on x ray, and right ventricular size diminished as assessed by
echocardiography. Atrial flutter and fibrillation continued to be
troublesome. This study adds additional evidence to the proposition
that closure of secundum and sinus venosus ASDs benefits many or most
symptomatic patients
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This article has been cited by other articles:
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Schoen, S.P., Zimmermann, T., Kittner, T., Braun, M.U., Fuhrmann, J., Schmeisser, A., Strasser, R.H.
(2007). NT-proBNP correlates with right heart haemodynamic parameters and volumes in patients with atrial septal defects. Eur J Heart Fail
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Swan, L, Gatzoulis, M.A
(2003). Closure of atrial septal defects: is the debate over?. Eur Heart J
24: 130-132
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Auer, J., Punzengruber, C., Berent, R., Porodko, M., Eber, B.
(2001). Elevated Cardiac Troponin I Following Heavy-Resistance Exercise in Ostium Secundum Type-Atrial Septal Defect. Chest
120: 1752-1753
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