Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Haji-Zeinali, Ali-Mohammad; Iri, Mohammadreza; Hosseinsabet, Ali

doi:10.1002/jum.14887

Cited by 7 publications

(11 citation statements)

References 36 publications

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“…In this long-term follow-up, the LA reservoir function, conduit and contraction function of the ASD-D were impaired compared to the control group, but there was no difference in these functions between the ASD-D and ASD-S groups. Our results are very similar to those of Hajizeinali et al, 24) who analyzed data from 1 to 5 years after treatment. They reported reduced reservoir function in the device group, and reduced conduit function in both the device and surgery groups, compared to controls.…”

Section: Discussionsupporting

confidence: 92%

“… 28) When analyzing 2D strain of LA, they suggest averaging the measurements of the anterior, inferior, lateral, and septal walls, but several previous studies have excluded the septum from the analysis because of its displacement due to the device or patch. 21) 24) We analyzed global strain without excluding the LA septum, because 2D STE has the ability to distinguish normal deformation from passive device motion without being affected by the global motion of the heart or tethering of the adjacent segments. 29) 30) …”

Section: Discussionmentioning

confidence: 99%

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Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Seo

Park

et al. 2021

J Cardiovasc Imaging

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BACKGROUND: Studies comparing left atrial (LA) function after surgical closure or percutaneous closure in patients with an atrial septal defect (ASD) are lacking. METHODS: Between 1 and 3 years after ASD treatment, we retrospectively analyzed the medical records and transthoracic echocardiographic images of patients who had been diagnosed with an ASD after 20 years of age and who had undergone surgical closure (ASD-S) or percutaneous device closure (ASD-D). We measured LA peak systolic, early diastolic, and late diastolic strain values using 2-dimensional (2D) speckle tracking echocardiography (STE) and calculated reservoir, conduit, and contraction strain. RESULTS: The reservoir strain value of the ASD-D groups was 25.2% ± 7.4%, which was lower compared to the control group (33.6% ± 5.5%) (p = 0.004). The LA conduit strain and the LA contraction values of the ASD-D group were also lower compared to the control group (−13.8% ± 5.8% vs. −20.4% ± 4.7%, p = 0.034; −11.3% ± 4.2% vs. −13.2% ± 2.5%, p = 0.037, respectively). The reservoir, conduit, and contraction strains of the ASD-S group were 27.8% ± 8.8%, −15.3% ± 6.4%, and −12.5% ± 5.8%, respectively, and were not different from those of the control group or the ASD-D group. CONCLUSIONS: The 2D STE is a suitable method for evaluating LA function after ASD closure. Our results demonstrate that 1 year after device closure, the LA reservoir, conduit and contraction function were reduced in ASD-D group compared to healthy controls, while there was no difference between the ASD-S and ASD-D groups.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Seo

Park

et al. 2021

J Cardiovasc Imaging

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“…Therefore, we calculated only LS of the FW as the average strain in three segments of the FW and did not include LS of IAS or global longitudinal strain. 25) We calculated the average of the peak LS of FW during the systolic phase (LSs-FW) in three segments, which indicated LA reservoir function. LS of FW during the early diastolic phase (LSe-FW) indicated LA conduit function.…”

Section: Figurementioning

confidence: 99%

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

et al. 2020

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Percutaneous occlusion of atrial septal defect (ASD) has recently become a standard therapeutic strategy, but little is known about left atrial (LA) function thereafter. The present study aimed to determine LA function in 43 children with ASD and 13 controls based on LA strain measured by two-dimensional echocardiographic speckle tracking (2DE-ST). Among these children, 12 underwent surgery (ASD-S), 31 had device closure (ASD-D), and 13 were included as controls. LA strain was significantly decreased after ASD-D but was not significantly altered after ASD-S, indicating that percutaneous occlusion of an ASD might decrease LA function. Furthermore, the size of the ASD device negatively correlated with LA strain. These results imply that ASD occlusion devices negatively influence LA function and might be important when decided therapeutic strategies for ASD. LA strain measured by 2DE-ST should become a good indicator of LA function after ASD treatment in children.(Int Heart J 2020; 61: 83-88)

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“…[9][10][11][12] Chronic geometrical changes and volume overload in hearts with ASD lead to remodeling of the sarcomeres. 6 Sarcomeres are contractile units of the heart and their changes are the mainstay of the alterations seen in strain values. It is difficult to predict the timing of the initiation of these changes; they might be present at birth or progress as an acquired disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Hajizeinali et al compared LA and RA functions in post-surgical and device closure patients and found reductions in reservoir phase of LA function in the device group, whereas there were reductions in RA strains in post-surgical patients, probably due to surgical incisions. 6 Cakal et al evaluated left-sided strain and strain rates in adult patients with secundum ASD and found no significant difference between patients with ASD and normal subjects. The LV and LA strains increased after device closure.…”

Section: Discussionmentioning

confidence: 99%

Cardiac remodeling after atrial septal defects device closure

2022

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Background Trans‐catheter device closure of secundum type atrial septal defects (ASDs) has now become the treatment of choice. Device closure affects the hemodynamics and function of the heart. In the current study, we investigated the remodeling of the heart as assessed by advanced echocardiographic parameters following successful device closure. Methods A prospective cohort study was conducted and 45 patients who were eligible for ASD device closure were evaluated for volumetric, functional, Doppler, strain, and strain rate data of left and right atrium and ventricle pre‐procedural and 48 h post‐procedure Results In a prospective cohort study 45 patients who were eligible for ASD device closure; atrial and ventricular volumetric, functional, Doppler, strain, and strain rate data were recorded and compared pre‐procedurally and 48 h post‐procedure.We found significant changes in the left ventricular (LV) end diastolic volume index (p‐value = .03), right ventricular (RV) diameter (p‐value = <.001), left atrial (LA) volume index (p‐value = .05), right atrial (RA) volume index (p‐value = .001), and right and left sided E/e’ ratio with a p‐value of .001 and .004, respectively. Our findings showed a significant reduction in the strains of the right and left atria and the right ventricular free wall after ASD device closure. LV global longitudinal strain decreased after the procedure but did not reach statistical significance. Conclusion ASD patients have impaired global strains compared to normal defined ranges. LA, RA, and RV strains show significant reduction after device closure. Decline in LA function following closure was greater in those with larger ASDs. In adult patients undergoing the procedure, abnormal LA function is a clinically relevant issue demanding pre and post‐ procedural precautions and treatment.

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Assessment of the Right and Left Atrial Functions at Midterm After Surgical and Device Atrial Septal Defect Closure: A 2‐Dimensional Speckle‐Tracking Echocardiographic Study

Cited by 7 publications

References 36 publications

Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Cardiac remodeling after atrial septal defects device closure

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