PMID- 26336455
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150904
LR  - 20200930
IS  - 1731-5530 (Print)
IS  - 1897-4252 (Electronic)
IS  - 1731-5530 (Linking)
VI  - 11
IP  - 4
DP  - 2014 Dec
TI  - Surgical correction of atrial septal defect in the elderly.
PG  - 391-6
LID - 10.5114/kitp.2014.47338 [doi]
AB  - INTRODUCTION: Atrial septal defects (ASDs) are one of the most common congenital 
      malformations in adults. Correction of ASDs in advanced age remains 
      controversial, even though beneficial effects in this patient group were found in 
      recent studies. In older patients, less invasive transcatheter closure of ASDs 
      has been recommended. AIM: The aim of this study was to analyze our advanced age 
      ASD surgical cohort: early and late results. MATERIAL AND METHODS: Retrospective 
      analysis of 32 patients operated on at an age of >/= 60 years (i.e. age 66.13 +/- 
      4.8, range from 60 to 78) in our center between 2001 and 2011 was carried out. We 
      reviewed our experience of surgical ASD closure in elderly patients over a 
      10-year period to assess the effects of this type of treatment on early 
      postoperative and long-term survival, early and late complications, preoperative 
      and postoperative clinical status (New York Heart Association [NYHA] functional 
      class), pulmonary hypertension (PH) and atrial arrhythmias. The patients were 
      divided into two groups according to age. RESULTS: The frequency of comorbidities 
      was lower in younger age group patients (11 [61%] vs. 13 [93%], p < 0.05). Atrial 
      fibrillation/flutter was found in 21 (66%) of all patients. Late postoperative 
      mortality was higher in the older patient group (3 [21%] vs. 1 [5.6%]). Despite 
      this, we observed significant improvement of symptoms and functional ability in 
      the older population after surgical ASD closure (group I, n = 10 [56%] vs. group 
      II, n = 12 [86%]). CONCLUSIONS: Surgical correction of clinically significant ASD 
      is effective even in older patients with comorbidities.
FAU - Rudiene, Virginija
AU  - Rudiene V
AD  - Centre of Cardiology and Angiology, Vilnius University Hospital, Santariskiu 
      Klinikos, Lithuania.
FAU - Gumbiene, Lina
AU  - Gumbiene L
AD  - Centre of Cardiology and Angiology, Vilnius University Hospital, Santariskiu 
      Klinikos, Lithuania ; Clinic of Cardiovascular Diseases, Faculty of Medicine, 
      Vilnius University, Lithuania ; Centre of Cardiac Surgery, Vilnius University 
      Hospital, Santariskiu Klinikos, Lithuania.
FAU - Dranenkiene, Alicija
AU  - Dranenkiene A
AD  - Clinic of Cardiovascular Diseases, Faculty of Medicine, Vilnius University, 
      Lithuania.
FAU - Karalius, Rimantas
AU  - Karalius R
AD  - Clinic of Cardiovascular Diseases, Faculty of Medicine, Vilnius University, 
      Lithuania ; Centre of Cardiac Surgery, Vilnius University Hospital, Santariskiu 
      Klinikos, Lithuania.
FAU - Sirmenis, Raimondas
AU  - Sirmenis R
AD  - Centre of Cardiac Surgery, Vilnius University Hospital, Santariskiu Klinikos, 
      Lithuania.
FAU - Tarutis, Virgilijus
AU  - Tarutis V
AD  - Clinic of Cardiovascular Diseases, Faculty of Medicine, Vilnius University, 
      Lithuania ; Centre of Cardiac Surgery, Vilnius University Hospital, Santariskiu 
      Klinikos, Lithuania.
LA  - eng
PT  - Journal Article
DEP - 20141130
PL  - Poland
TA  - Kardiochir Torakochirurgia Pol
JT  - Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic 
      surgery
JID - 101279148
PMC - PMC4349036
OTO - NOTNLM
OT  - atrial septal defect
OT  - early and late complications
OT  - elderly patients
OT  - surgical treatment
EDAT- 2015/09/04 06:00
MHDA- 2015/09/04 06:01
PMCR- 2014/12/01
CRDT- 2015/09/04 06:00
PHST- 2014/02/16 00:00 [received]
PHST- 2014/02/18 00:00 [revised]
PHST- 2014/10/28 00:00 [accepted]
PHST- 2015/09/04 06:00 [entrez]
PHST- 2015/09/04 06:00 [pubmed]
PHST- 2015/09/04 06:01 [medline]
PHST- 2014/12/01 00:00 [pmc-release]
AID - 24075 [pii]
AID - 10.5114/kitp.2014.47338 [doi]
PST - ppublish
SO  - Kardiochir Torakochirurgia Pol. 2014 Dec;11(4):391-6. doi: 
      10.5114/kitp.2014.47338. Epub 2014 Nov 30.