SHOULD ADULT ATRIAL SEPTAL DEFECT CASES BE OPERATED? MID AND LATE TERM RESULTS

Batuhan Özay, *Seden Çelik, Bülend Ketenci, Önder Teskin, Okan Yücel, Murat Sargın, Serdar Çimen, Murat Demirtaş

Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
*Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kardiyoloji Kliniği, İstanbul

Background: Atrial septal defect is one of the most commonly seen congenital cases. In adulthood atrial septal defect is the most common congenital cardiac disease.The treatment approach to adult atrial septal defect cases is still debatable.The aim was to evaluate our results of adult atrial septal defect cases treated surgically.

Methods: A comparison between 32 patients over 40 years and 45 patients under 40 years old was made after a 5 years follow up.

Results: Improvement in functional capacity was significant in adult Atrial septal defect cases. No significant changes in rhytm were seen. Any significant difference of echocardiographic parameters other than ventricular diameters was not found between groups.The improvement in functional capacity increased the life quality of the patients.

Conclusions: Morbidity and mortality was also not higher than that is in younger age group which may encourage us to operate the adult atrial septal defect cases.

Keywords : Adult atrial septal defect, functional capacity, cardiopulmonary exercise test

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