Atrial Mechanics after Surgical Repair of Tetralogy of Fallot

Hou, Jie; Yu, Hong‐Jeng; Wong, Samuel Po‐Shing; Cheung, Yiu‐fai

doi:10.1111/echo.12611

Cited by 33 publications

(21 citation statements)

References 45 publications

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“…Previous studies drawing on color‐coded tissue Doppler echocardiography in patients with ASDs evaluated the atrial functions only in a single segment of the atrial walls . Two‐dimensional speckle‐tracking echocardiography has been used for the evaluation of the atrial functions in some congenital heart diseases such as pulmonary atresia, ASDs, coarctation of the aorta, and tetralogy of Fallot . There is a dearth of data in the current literature on the comparison of the atrial functions between surgical and percutaneous device ASD closure at follow‐up durations of longer than 1 year.…”

mentioning

confidence: 99%

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

Iri

Hosseinsabet

2018

J of Ultrasound Medicine

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Objectives The available literature lacks data on the comparison of the functions of the right atrium (RA) and left atrium (LA) between surgical atrial septal defect (ASD) closure and percutaneous device ASD closure at follow‐up durations of longer than 1 year. We sought to evaluate the RA and LA functions in patients who underwent surgical or device ASD closure between 1 and 5 years postprocedurally. Methods The study population included 30 patients who underwent device ASD closure and 30 who underwent surgical ASD closure, who were matched for the procedural time, age, and sex, in addition to 30 control participants. The RA and LA functions were evaluated with 2‐dimensional speckle‐tracking echocardiography. Results The LA systolic and early diastolic strain and strain rate values and the RA early diastolic strain rate in the device closure group were more likely to be abnormal than in the control group. The RA systolic and late diastolic strain and strain rate values, the RA early diastolic strain rate, and the LA early diastolic strain in the surgical closure group were more likely to be abnormal than in the control group. The RA systolic strain and strain rate in the surgical closure group were more likely to be abnormal than in the device closure group. Conclusions The LA reservoir and conduit functions and the RA contraction function in the patients who underwent device ASD closure and all of the RA functions and the LA conduit function in the patients who underwent surgical ASD closure were more likely to be abnormal than those in the control participants. The RA reservoir function in the surgical closure group was more likely to be abnormal than that in the device closure group.

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confidence: 99%

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

Iri

Hosseinsabet

2018

J of Ultrasound Medicine

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“…Others have evaluated echocardiographic parameters of the right ventricle and their agreement with volumes and function estimated by MRI . There is an increasing interest in functional assessment including strain imaging that may add complimentary information and reveal subclinical disease.…”

Section: Resultsmentioning

confidence: 99%

“…Echocardiographic findings may help decide which patients would require MRI . Echocardiographic analysis of atrial and ventricular function may provide additive information . There are no specific pediatric guidelines for PR classification, and there is no consensus regarding management of children with PR .…”

Section: Resultsmentioning

confidence: 99%

Echocardiographic assessment of pediatric semilunar valve disease

et al. 2017

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We reviewed echocardiography literature for the assessment and management of semilunar valve disease in children. A search was performed within the National Library of Medicine using the keywords aortic stenosis (AS), aortic regurgitation, pulmonary stenosis (PS), and pulmonary regurgitation in children. The search was further refined adding the keywords-pediatric, neonates, echocardiographic definition, classification, evaluation. Thirty-eight studies were included. For stenotic lesions, there were sufficient consistencies between Doppler and invasive gradients (especially for PS), while other quantitative parameters used in adults showed significant limitations when applied to children. Heterogeneities remain in the range of Doppler measurements utilized to define mild vs moderate vs severe AS/PS, and to guide management. There is sufficient consensus regarding indications for interventions. In regurgitant lesions, there is weak evidence supporting the use of quantitative or semiquantitative parameters after correction for body surface area; clear indications for intervention are lacking. Because adult echocardiographic recommendations cannot be simply translated to the pediatric age, more specific pediatric guidelines and standards for the assessment of semilunar valve disease are needed.

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“…The following parameters of RV deformation were then derived: global longitudinal systolic strain and strain rate, and early and late diastolic strain rates. We have previously reported high reproducibility using speckle tracking echocardiography for measurements of RA and RV strain and strain rates.…”

Section: Methodsmentioning

confidence: 99%

“…On the other hand, the pathophysiologic significance of right atrial (RA) dysfunction is less clear. Nevertheless, RA size and function have been related to RV diastolic function . Hence, abnormal ventricular substrate for RA dysfunction may exist in patients after biventricular repair of PAIVS and PS.…”

mentioning

confidence: 99%

Right Atrial Mechanics Long‐Term after Biventricular Repair of Pulmonary Atresia or Stenosis with Intact Ventricular Septum

Lai

Wong

et al. 2015

Echocardiography

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Atrial Mechanics after Surgical Repair of Tetralogy of Fallot

Abstract: Mechanics of both atria are impaired in patients after repair of TOF and are associated with diastolic performance of the respective ventricles.

Cited by 33 publications

References 45 publications

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

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

Echocardiographic assessment of pediatric semilunar valve disease

Right Atrial Mechanics Long‐Term after Biventricular Repair of Pulmonary Atresia or Stenosis with Intact Ventricular Septum

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