Long-term follow-up of children after repair of atrial septal defects.

J. Mandelik, D. S. Moodie, R. Sterba, D. Murphy, Eliot Rosenkranz, S. Medendorp, A. Kovaks

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: It is critical to repair atrial septal defects during childhood to minimize long-term morbidity and mortality. However, only a few studies have examined factors that predict a favorable outcome. OBJECTIVE: To examine prognostic variables in the repair of atrial septal defects. METHODS: Retrospective analysis of children who underwent repair of atrial septal defects between 1957 and 1981. RESULTS: There were 70 girls and 57 boys with a mean age of 9.3 years at the time of surgery (range 4 months to 20 years). The most common presenting symptoms were fatigue and dyspnea. Before surgery, 74% were in New York Heart Association functional class I, 70% had echocardiographic evidence of right ventricular hypertrophy, and 55% had cardiomegaly on chest radiographs. The average mean pulmonary arterial pressure was 17.1 mm Hg. The only factor significantly related to poor outcome was pulmonary hypertension. Age at surgery did not influence long-term results. Ninety-four percent of patients were in functional class I at follow-up. CONCLUSIONS: Repair of atrial septal defects is safe before age 21, but it should be done as early as possible in order to minimize the long-term complications of chronic left-to-right shunting.

Original languageEnglish
Pages (from-to)29-33; quiz 80
JournalCleveland Clinic Journal of Medicine
Volume61
Issue number1
StatePublished - Jan 1 1994
Externally publishedYes

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Atrial Heart Septal Defects
Right Ventricular Hypertrophy
Cardiomegaly
Pulmonary Hypertension
Dyspnea
Fatigue
Arterial Pressure
Thorax
Morbidity
Lung
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mandelik, J., Moodie, D. S., Sterba, R., Murphy, D., Rosenkranz, E., Medendorp, S., & Kovaks, A. (1994). Long-term follow-up of children after repair of atrial septal defects. Cleveland Clinic Journal of Medicine, 61(1), 29-33; quiz 80.

Long-term follow-up of children after repair of atrial septal defects. / Mandelik, J.; Moodie, D. S.; Sterba, R.; Murphy, D.; Rosenkranz, Eliot; Medendorp, S.; Kovaks, A.

In: Cleveland Clinic Journal of Medicine, Vol. 61, No. 1, 01.01.1994, p. 29-33; quiz 80.

Research output: Contribution to journalArticle

Mandelik, J, Moodie, DS, Sterba, R, Murphy, D, Rosenkranz, E, Medendorp, S & Kovaks, A 1994, 'Long-term follow-up of children after repair of atrial septal defects.', Cleveland Clinic Journal of Medicine, vol. 61, no. 1, pp. 29-33; quiz 80.
Mandelik J, Moodie DS, Sterba R, Murphy D, Rosenkranz E, Medendorp S et al. Long-term follow-up of children after repair of atrial septal defects. Cleveland Clinic Journal of Medicine. 1994 Jan 1;61(1):29-33; quiz 80.
Mandelik, J. ; Moodie, D. S. ; Sterba, R. ; Murphy, D. ; Rosenkranz, Eliot ; Medendorp, S. ; Kovaks, A. / Long-term follow-up of children after repair of atrial septal defects. In: Cleveland Clinic Journal of Medicine. 1994 ; Vol. 61, No. 1. pp. 29-33; quiz 80.
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