Ostium primum defect in the adult: postoperative follow-up studies.
نویسندگان
چکیده
Twelve adult patients with ostium primum atrial septal defects (incomplete endocardial cushion defect) who underwent surgical repair of their lesions were evaluated in the late postoperative period. All had closure of the low-lying atrial septal defect, with suturing of the mitral valve cleft in 11 patients. Although the patients benefited symptomatically from the surgery, all had residual cardiac murmurs. Postoperative cardiac catheterization and left ventriculography in eight revealed successful closure of the atrial septla defect, but three demonstrated residual mitral insufficiency. In spite of the successful surgical repair in these patients, bacterial indocarditis prophylaxis should be continued in view of the residual murmurs and valvular abnormalities.
منابع مشابه
Atrial Septal Defects in the Adult
Nomenclature and Classification There are 3 major types of ASDs or interatrial communications: ostium secundum, ostium primum, and sinus venosus (Figure 1A) defects. The ostium secundum is a true defect of the atrial septum and involves the region of the fossa ovalis. The ostium primum defect is within the spectrum of the atrioventricular (AV) septal defects (Figure 1B; also known as AV canal d...
متن کاملEtiology of right bundle branch block pattern following surgical repair of atrioventricular cushion defects.
Electrocardiograms and surgical data from 12 patients with complete atrioventricular canal defects and 24 patients with ostium primum defects were evaluated before and after open heart surgery in order to document the incidence of postoperative right bundle branch block. The use and precise location of septal sutures utilized for repair were specifically noted in order to assess their possible ...
متن کاملThe persistent ostium primum atrial septal defect. (Partial persistent common atrioventricular canal).
متن کامل
Atrial septal defects in the adult: recent progress and overview.
Nomenclature and Classification There are 3 major types of ASDs or interatrial communications: ostium secundum, ostium primum, and sinus venosus (Figure 1A) defects. The ostium secundum is a true defect of the atrial septum and involves the region of the fossa ovalis. The ostium primum defect is within the spectrum of the atrioventricular (AV) septal defects (Figure 1B; also known as AV canal d...
متن کاملThe persistent ostium primum atrial septal defect.
Five patients with an ostium primum type of atrial septal defect were studied by clinical and laboratory methods and the diagnosis was verified either at the time of open-heart surgery and/or at autopsy. The atrioventricular valves formed the floor of the defect and were deformed in 4 of the 5 patients. Mitral insufficiency was present as a result of this valvular deformity in these four patien...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Chest
دوره 67 2 شماره
صفحات -
تاریخ انتشار 1975