+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comparative changes of pulmonary artery pressure values and tricuspid valve regurgitation following transcatheter atrial septal defect closure in adults and the elderly

Comparative changes of pulmonary artery pressure values and tricuspid valve regurgitation following transcatheter atrial septal defect closure in adults and the elderly

Congenital Heart Disease 4(1): 17-20

Opinions vary widely regarding the effectiveness of transcatheter atrial septal defect (ASD) closure in adults, especially in elderly patients. The purpose of this study was to evaluate and compare the hemodynamic changes after transcatheter ASD closure in two groups of patients, one aged 40-59 years (group 1) and one 60 years of age and older (group 2). Retrospective analysis of patient files. Forty-six patients were evaluated (23 in each group). Older patients had a higher prevalence of cardiovascular risk factors and established coronary artery disease. There was no statistically significant difference between the two groups in Qp/Qs values, ASD diameter and occluder size. The elderly patients had significantly higher baseline systolic pulmonary artery pressure (PAp) levels -53 +/- 16.2 vs. 39 +/- 7.7 mm Hg, P = 0.003. One year following the procedure, the mean reduction in PAp values was 11.3% in group 1 and 19% in group 2 (P = 0.099). While significant baseline tricuspid regurgitation (TR) was more frequent in the elderly patients, no significant TR was observed in either group 1 year following the procedure. Transcatheter ASD closure resulted in significant hemodynamic improvement in all patients, but was even more beneficial in the elderly patient cohort.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 052210607

Download citation: RISBibTeXText

PMID: 19207398

DOI: 10.1111/j.1747-0803.2008.00245.x

Related references

Predictors of mid-term functional tricuspid regurgitation after device closure of atrial septal defect in adults: Impact of pre-operative tricuspid valve remodeling. International Journal of Cardiology 187: 447-452, 2015

Increased pulmonary artery pressures during exercise are related to persistent tricuspid regurgitation after atrial septal defect closure. Acta Cardiologica 68(4): 365-372, 2013

Late dislocation of an Amplatzer septal occluder in the chordae tendineae of the tricuspid valve after failed transcatheter closure of atrial septal defect. Hellenic Journal of Cardiology 60(3): 205-206, 2018

Functional Tricuspid Regurgitation After Transcatheter Closure of Atrial Septal Defect in Adult Patients: Long-Term Follow-Up. Jacc. Cardiovascular Interventions 10(21): 2211-2218, 2017

Fate of Mitral Regurgitation After Transcatheter Closure of Atrial Septal Defect in Adults. American Journal of Cardiology 116(3): 458-462, 2015

A successful surgical case of secundum atrial septal defect with tricuspid regurgitation associated with tricuspid valve prolapse and partial anomalous pulmonary venous return. Kyobu Geka. Japanese Journal of Thoracic Surgery 38(9): 750-755, 1985

Atrial septal defect with tricuspid valve regurgitation and heart failure in early childhood: report of a case with successful surgical management consisting of special patch closure technique and use of polydioxanone suture for the tricuspid annuloplasty. Rinsho Kyobu Geka 9(3): 301-304, 1989

Persistent tricuspid regurgitation and its predictor in adults after percutaneous and isolated surgical closure of secundum atrial septal defect. American Journal of Cardiology 104(6): 856-861, 2009

Combined transcatheter closure of atrial septal defect and pulmonary valve balloon dilation. Acta Medica Iranica 50(10): 710-712, 2012

Echocardiographic quantification of pulmonary artery systolic pressure in ventricular septal defect: Do calculations from Doppler interrogation across tricuspid regurgitation and ventricular septal defect correlate?. International Journal of Cardiology 202: 100-102, 2016

Anomalous origin of the right pulmonary artery from the ascending aorta--a case associated with massive tricuspid regurgitation and atrial septal defect. Kyobu Geka. Japanese Journal of Thoracic Surgery 26(5): 369-374, 1973

Acute Changes in Left Ventricular End Diastolic Pressure following the Transcatheter Closure of an Atrial Septal Defect in Adults. Heart Surgery Forum 19(3): E145-E149, 2016

Different determinants of residual tricuspid regurgitation after tricuspid annuloplasty: comparison of atrial septal defect and mitral valve prolapse. Journal of the American Society of Echocardiography 22(8): 899-903, 2009

Different Determinants of Residual Tricuspid Regurgitation after Tricuspid Annuloplasty: Comparison of Atrial Septal Defect and Mitral Valve Prolapse. Yearbook of Cardiology 2010: 269-270, 2010

A surgical case for venous sinus type atrial septal defect, partial anomalous pulmonary venous connection, chronic atrial fibrillation, and tricuspid valve regurgitation. Nichidai Igaku Zasshi 65(5): 333-336, 2006