2002, Number S1
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Arch Cardiol Mex 2002; 72 (S1)
Atrial septal defect in patients aged over 40 years
Attie F
Language: Spanish
References: 12
Page: 14-17
PDF size: 50.62 Kb.
ABSTRACT
Surgical treatment of atrial septal defect in patients older than 40 years is a subject of controversy. We compared the outcome in patients medically treated after the age of 40, with the long-term outcome in a similar group of patients after surgical closure. We conclude that surgical closure was superior to medical treatment. According to our results, surgical treatment must be performed as soon as possible, even if the symptoms of the functional status seem to be minimal.
REFERENCES
Campbell M: Natural histoy of atrial septal defect. Br Heart J 1970; 32: 820-825.
Mattila S, Merikallio E, Tala P: ASD in patients over 40 years of age. Scand J Thorac Cardiovasc Surg 1979; 13: 21-24.
Brickner ME, Hillis D, Lange RA: Congenital heart disease in adults. N Engl J Med 2000; 242- 256-263.
Rabinovith M: New concepts in pulmonary vascular disease. In: Freedom RM. Congenital Heart Disease. Current Medicine Philadelphia 1997; p 22.1-22.10.
Dave KS, Pakrashi BC, Wooler GH, Ionescu MI: Atrial septal defect in adults: clinical and hemodynamic results of surgery. Am J Cardiol 1978, 31: 7-13.
Murphy JG, Gersh BJ, McGoon MD, Mair DD, Porter CJ, Ilstrup DM, et al: Long-term outcome after surgical repair of isolated atrial septal defect: follow-up at 27 to 32 years. N Engl J Med 1990; 323: 1645-1650.
Horvath KA, Burke RP, Collins JJ Jr, Cohn LH: Surgical treatment of atrial septal defect: early and long-term results. J Am Coll Cardiol 1992; 20: 1156-1159.
Konstantinides S, Geibel A, Olschewski M, Görnandt L, Roskamm H, Spillner G, et al: A comparison of surgical and medical therapy for atrial septal defect in adults. N Engl J Med 1995; 333: 469-473.
Gatzoulis MA, Redington AN, Somerville J, Shore DF: Should atrial septal defects in adults be closed. Ann Thorac Surg 1996; 61: 657-659.
Attie F, Rosas M, Granados N, Buendía A, Zabal C, Calderón J: Anatomical closure for atrial septal defect in patients aged over 40 years. A randomized clinical trials. J Am Coll Cardiol 2001; 38: 2035-2042.
Onillon R, Thanopolus B, Tsaovsis G, Triposkiadis F, Kyriakidis M, Redington A: Transcatheter closure of atrial septal defects in adults with the amplatzer septal occluder. Heart 1999; 82: 559-562.
Gatzoulis MA, Freeman MA, Samuel CS, Web GD, Harris L: Atrial arrhythmia after surgical closure of atrial septal defects in adults. N Engl J Med 1999; 340: 839-846.