PMID: 8606284Mar 1, 1996Paper

Long-term follow-up after surgical repair of ostium primum atrial septal defects in adults

Journal of the American College of Cardiology
R P BurkeL H Cohn

Abstract

We sought to determine the long-term survival rates and defect-related morbidity of adult patients who undergo surgical repair of an ostium primum atrial septal defect. The natural history of patients undergoing such surgical repair in adulthood remains unclear. We followed up 33 patients who underwent surgical correction of an ostium primum atrial septal defect at our institution at a mean age of 42 years (range 20 to 73); 12 of these patients were > 50 years old at the time of operation. Four patients had moderate preoperative exercise incapacity (New York Heart Association functional class > II) and six had atrial fibrillation. Nine and four patients, respectively, had a preoperative mean pulmonary artery pressure > 25 mm Hg or pulmonary vascular resistance > 4 Wood U. Autologous pericardium was used to patch the defect in 30 patients (91%). Mitral valvuloplasty, consisting of cleft repair (n = 10), and mitral valve replacement (n = 2) were performed selectively. There were no operative deaths. At a mean follow-up interval of 5.3 years (range 1 to 18.2), all 28 surviving patients are free of exercise limitation (functional class 1). Late postoperative deaths occurred in five patients (15%) and were related to myocardial infa...Continue Reading

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Citations

Oct 24, 2007·Pediatric Cardiology·R KharoufR Abdulla
Apr 10, 1999·The Annals of Thoracic Surgery·M A GatzoulisW G Williams
May 2, 2000·The Journal of Thoracic and Cardiovascular Surgery·E K El-NajdawiG K Danielson
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·D J Murphy
Apr 27, 2010·The Annals of Thoracic Surgery·John M StulakHartzell V Schaff
Jul 22, 2008·The American Journal of Cardiology·Sora GoetschmannJean-Pierre Pfammatter
Jul 25, 2003·Asian Cardiovascular & Thoracic Annals·Kaan KiraliCevat Yakut
Apr 1, 2010·World Journal for Pediatric & Congenital Heart Surgery·John M StulakJoseph A Dearani
Aug 26, 2009·Journal of Thoracic Imaging·Prabhakar RajiahJeffrey Kanne
Oct 27, 2017·Interactive Cardiovascular and Thoracic Surgery·Tianyu ZhouChunsheng Wang
Aug 29, 2020·Seminars in Thoracic and Cardiovascular Surgery·Sri Harsha PatlollaNishant Saran

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