Secundum atrial septal defect in children

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The goal of the study ended up being to assess the right atrial and right ventricular size, and also the speed of the normalization, in youngsters after percutaneous closure of secundum atrial septal defect using the Amplatzer septal occluder.The research group comprised of 76 children, aged 3.5 to 17. five years. The next dimensions (indexed to body area) were carried out using 3D echocardiography: longitudinal, transverse axis and section of RA, RV inflow dimensions at one-third, and midway between your tricuspid annulus and also the apex (within the apical 4-chamber view), short axis and M-mode RV diastolic dimensions. All dimensions were acquired 34 h and 1, 3 and 16 several weeks following the procedure, then yearly over four years of follow-up, and in comparison using the values acquired in the control groups.

A substantial decrease in most RA and RV values was observed after 24 h. Right ventricular transverse dimension stabilized after 60 days, the RA longitudinal axis and area and also the RV inflow dimensions after 3 several weeks, and also the RA transverse axis and M-mode RV diastolic dimension after 48 months, but the number of transverse to longitudinal RA axis continued to be considerably greater.Right atrial and right ventricular dimensions decrease quickly throughout the very first 24 h, and many of them normalize inside a 3-month period. M-mode RV diastolic dimension doesn’t capture the actual RV changes. Amplatzer septal occluder closure of ASD influences the RA geometry, that is reflected through the greater transverse to longitudinal RA axis ratio.

Secundum atrial septal defect is among the most typical cardiac defects, comprising roughly 5% to 15% of hereditary cardiac anomalies in youngsters. Marked progress in interventional cardiology has brought to the introduction of a non-surgical way of ASD II treatment, and percutaneous closure of single ASDII is just about the standard of treatment, possible within 50-60% of patients with respect to the defect location, size and patient’s age .

The advisable limitations for percutaneous closure include too large defect or not big enough surrounding rims (aside from the anterior rim toward the aorta). Symptomatic infants are often treated surgically however, the percutaneous approach continues to be carried out in youngsters with bodyweight under 10 kg. Patients who don’t fulfil criteria for percutaneous closure are qualified for open heart surgery, that is carried out with higher leads to patients in the infancy period to late their adult years, even though it is connected with morbidity, discomfort along with a thoracotomy scar .

Right ventricular and right atrial volume overload are very well known effects of unclosed ASD II. Persistent shunt, leading to right atrial dilation, can lead to symptomatic cardiac arrhythmias .The goal of the study ended up being to assess the right atrial (RA) and right ventricular (RV) size and also the speed of the normalization in youngsters after percutaneous closure of secundum atrial septal defect using the Amplatzer septal occluder.