i
Report an error   
Advanced Search


Incidence of arrhytmia after ASD surgery among pediatric patients.

Author

D Adriano,
E Latosa,
C Uy-Santos,
ML Casas,
T Cantre

Related Institution

Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Cardiology
Frequency
Quarterly
Publication Date
April-June 1999
Volume
27
Issue
2
Page(s)
57-61

Abstract

INTRODUCTION AND OBJECTIVE: For this simple congenital heart defect, a significant number of patients will still develop severe dysrhythmia after operation. This study was done to determine the incidence of arrhythmia occurring after ASD surgery in pediatric patients at the Philippine Heart Center from 1993 to 1997.


METHODS: A study population of 117 patients operated on consecutively for ASD were gathered. Pre- and postoperative ECG were obtained in all patients. Different factors as to the cause of arrhythmia were gathered including age at operation, the type and duration of surgery, the size of the defect and associated lesions and their hemodynamic hemostasis.


RESULTS: Age at the time of operation was highly significant, with a mean value of 8.37 years for those without arrhythmia and 12.25 years for those who developed arrhythmias. The mean significant to ASD was 3.93 cm2 for those without and 6.00 cm2 for those who had. Other parameters as the cause of arrhythmia mentioned above were not statistically significant.


CONCLUSION AND RECOMMENDATION: This retrospective study establishes that the age at operation and the size of ASD are causative factors arrhythmia after surgery. Long-term follow-up of postoperative ASD patients especially those who did not develop arrhythmia is recommended.

References

1. Bonchek, L I , Burlingame, M W , Worley, S J . "Coze/Maze procedure: Management strategies" Ann Thorac Surg. 55, 607-10, 1993
2. Bink-Boelkens, M E , Meuzelaar, K J , Eygelaar, A . "Arrhythmais after repair of secundum atrial septal defect. The influence of surgical modification" Am Heart J 115, 629-33, 1988
3. Robbins, C R . "Strial septal and ventricular septal defects. Critical heart disease in infants and children" 23, 581-600, 1995
4. Beaufort-Krol, G M , Bink-Boelkens, M E . "Effectiveness of sotalol for atrial flutter in children after surgery for congenital heart disease. Excerpta Medica Inc" , 92-4, 1997
5. Bink-Boelgens, M E , Velvis, H , Eygelaar, A . "Dysrhytnias after atrial surgery in children" American Heart Journal , 125-30, July 1983
6. Karpawich, P P , Antillon, J R , Cappola, P R , BS, . "Pre and postoperative electrophysiologic assessment of children with secundum atrial septal defect" Am J Cardiol 55, 519-21, 1984
7. Bolens, M , Friedli, B . "Sinus node function and conduction system before and after surgery for secundum atrial septal defect: An electrphysiologic study" Am J Cardiol 53, 1415-20, 1984
8. Meijiboon, F , Hess, J , Szatmari, A . "Long-term follow-up after surgical closure of atrial septal defect at a young age" Am J Cardiol 72, 1431-4, 1993
9. Konstantinides, S , Geibel, A , Olschewski, M . "A comparison of surgical and medical therapy for atrial septal defect in adults" N Engl J Med 333, 469-73, 1995
10. Faletra, F , Scarpini, S , Moreo, A . "Color doppler echocardiographic assessment of atrial septal defect size: Correlation with surgical measurements" J Am Soc Echocardiogr 4, 429-34, 1991
11. Clark, E B , Kugler, J D . "Preoperative secumdum atrial septal defect with coexisting sinus node and atrioventricular node dysfunction" Circulation 65(5,18): 976-80, 1982
12. "Moss and Adams: Heart disease in infants, children and adolescent including the fetus and young adult 5th edition " 51, 687-703, 1995
13. Myung, Park K. "Prediatric cardiology for practitioners 2nd edition" 23, 267-76, 1988
14. "Guyton: Textbook of Medical Physiology 8th edition" 10, 111-16, 1991

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Box no. 44 Fulltext Print Format
Philippine Council for Health Research and Development Fulltext pdf (Request Document)

 
Loading…
©2022 HERDIN PLUS. All rights reserved. | Contact Us | Keep up to date