Geometric and Functional Change of Both Ventricles after Atrial Ventricular Septal Defect Closure

Kim, Soo Jin

doi:10.4250/jcu.2014.22.4.180

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…This mechanism has been regarded as the cause of the common association (45%) between MVP and ASD type II. 12 In our study subjects, the prevalence of MVP among ASD type II patient was higher than previously reported (75%) when assessed by 3D echocardiography. This may be due to more accurate assessment of prolapsing segments by 3D echocardiography.…”

Section: Discussioncontrasting

confidence: 65%

Biventricular reverse remodeling and relationship with mitralvalve prolapse after transcatheter closure of ASD secundum, a 3Dechocardiographic study

El-Sisi

Dabour

Fattouh

et al. 2019

J Cardiovasc Thorac Res

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Introduction: Mitral valve prolapse (MVP) is the most common anomaly of the mitral valve. Several studies have shown prevalence of MVP in atrial septal defect (ASD) especially secundum types (II). The aims of this study is to show the potential role of 3D echocardiography in improving the diagnosis of MVP and to depict the relationship between reverse remodeling of the right and left ventricles (RV, LV) and MVP after transcatheter closure of ASD II. Methods: Sixty patients underwent transcatheter closure of ASD II and completed follow up by 2D and 3D echocardiography in Cairo University Children Hospital before the procedure and at 24 hours, 1 and 6 months after the procedure. Results: 3D echocardiography was more accurate than 2D echocardiography in detecting MVP frequency in ASD II patients (75% vs. 50%). Maximum statistically significant remodeling was detected by 3D echocardiography 1 month after the procedure (RV: LV ratio by 3D echocardiography 1.9±0.03 24 hours after the procedure vs. 1.6±0.03 1 months after the procedure, P < 0.01) while 2D echocardiography was delayed in detecting biventricular reverse remodeling. 3D derived RV: LV ratio was accurate in detecting MVP status with a sensitivity of 88%.

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Section: Discussioncontrasting

confidence: 65%

Biventricular reverse remodeling and relationship with mitralvalve prolapse after transcatheter closure of ASD secundum, a 3Dechocardiographic study

El-Sisi

Dabour

Fattouh

et al. 2019

J Cardiovasc Thorac Res

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“…21,22 Oleh karena itu, pada pasien dengan pirau ASD yang cukup signifikan, ventrikel kanan akan melebar dan septumnya akan berdeviasi ke ventrikel kiri yang akan menyebabkan kompresi pada ventrikel kiri. 23 Dengan kata lain, ASD mencerminkan suatu volume overload kronis dari ventrikel kanan yang pada akhirnya akan menyebabkan penurunan preload ventrikel kiri dengan cara menurunkan pengisian ventrikel yang dapat memengaruhi fungsi ventrikel kanan maupun kiri. 24,25 Karena mekanisme tersebut, fungsi sistolik dan diastolik dapat terganggu secara mekanik, 21 serta akan terjadi perubahan geometri ventrikel kiri yang akan berujung pada menurunnya ejeksi fraksi.…”

Section: Pembahasanunclassified

Hubungan antara Nilai Red Cell Distribution Width dan Fungsi Ventrikel Kiri pada Anak dengan Penyakit Jantung Bawaan Asianotik

Pratama

Widjaja

Salimo

2017

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Latar belakang. Abnormalitas fungsi sistolik dan diastolik dari ventrikel kanan dan kiri banyak ditemukan pada pasien dengan PJB asianotik. Di Indonesia, fasilitas untuk menilai fungsi ventrikel kiri berupa ekokardiografi tidak selalu tersedia di rumah sakit perifer sehingga diperlukan penanda lain sebagai alternatif, di antaranya, red cell distribution width (RDW). Tujuan. Menganalisis hubungan nilai RDW dan fungsi ventrikel kiri (ejeksi fraksi, fraksi pemendekan dan rasio E/A) pada anak dengan PJB asianotik di RSUD Dr. Moewardi Surakarta. Metode. Penelitian observasional analitik dengan desain cross sectional, subjek 33 anak PJB asianotik. Hubungan antara kadar RDW dan parameter fungsi ventrikel kiri dianalisis menggunakan uji korelasi Spearman. Hasil. Di antara 33 subjek terdapat 17 laki-laki (51,5%). Didapatkan jenis PJB asianotik VSD (ventricle septal defect) 10 pasien (30,3%), ASD (atrial septal defect) 15 pasien (45,5%) dan PDA (patent ductus arteriosus) 8 pasien (24,2%). RDW berkorelasi signifikan dengan rasio E/A pada PJB asianotik secara keseluruhan (r -0,342; p=0,026). Pada VSD dan PDA, RDW tidak berkorelasi dengan parameter fungsi ventrikel kiri apapun. Namun pada ASD, RDW berkorelasi signifikan dengan ejeksi fraksi (r -0,491; p=0,032). Kesimpulan. Didapatkan hubungan antara RDW dengan parameter fungsi ventrikel kiri, terutama rasio E/A pada pasien PJB asianotik. Selain itu, juga terdapat hubungan antara RDW dengan ejeksi fraksi pada pasien ASD. Sari Pediatri 2017;18 (5) Objective.To analyze the relationship between RDW values and left ventricular function (ejection fraction, shortening fraction and E/A ratio) in children with acyanotic congenital heart disease in Dr. Moewardi Hospital, Surakarta. Method. This is an analytical observational study with cross sectional design in 33 acyanotic congenital hearth disease children. The relationship between RDW values and parameters of left ventricular function were analyzed using Spearman correlation test. Results. Of the 33 subjects there were 17 (51.5%) male. Acyanotic CHD consisted of: ventricular septal defect (VSD) 10 patients (30.3%), atrial septal defect (ASD) 15 patients (45.5%), and patent ductus arteriosus (PDA) 8 patients (24.2%). Overall, the RDW value significantly correlated with the E / A ratio in cyanotic CHD patients (r -0.342; p=0.026). In VSD and PDA, RDW is not correlated with any of left ventricular function parameters. However, in ASD, RDW significantly correlated with ejection fraction (r -0.491; p=0.032). Conclusion. We found a relationship between RDW and the parameters of left ventricular function, especially the E/A ratio, in patients with acyanotic CHD . We also found a relationship between RDW with ejection fraction in patients with ASD. Sari Pediatri 2017;18(5):339-44

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Geometric and Functional Change of Both Ventricles after Atrial Ventricular Septal Defect Closure

Cited by 2 publications

References 10 publications

Biventricular reverse remodeling and relationship with mitralvalve prolapse after transcatheter closure of ASD secundum, a 3Dechocardiographic study

Biventricular reverse remodeling and relationship with mitralvalve prolapse after transcatheter closure of ASD secundum, a 3Dechocardiographic study

Hubungan antara Nilai Red Cell Distribution Width dan Fungsi Ventrikel Kiri pada Anak dengan Penyakit Jantung Bawaan Asianotik

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