Akademik Veri Yönetim Sistemi
JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE, cilt.5, ss.1-5, 2014 (ESCI)
Aim: In this study, surgical closure of ostium secundum type atrial septal defects was to evaluate early and long-term results. Material and Method: Department of Cardiovascular Surgery between January 1997-March 2010 due to ostium secundum type atrial septal defects and surgical treatment applied data from 173 patients were evaluated. Mean age 25.16 +/- 18.10 (3 -76 years), respectively. Primary defects, was repaired surgically with pericardial patch or synthetic patch. 173 patients, on average, 10 days after the operation in the short term and the long-term average of 161 patients received 44 months after the clinical, radiological, echocardiography and ECG findings were evaluated. Results: 75.72% of the cases to in the fossa ovalis, 10.9% and 5.8% when the superior caval 'When the inferior caval defect was detected. The average diameter of 121 patients the defect was closed with pericardial patch 20.43 mm, 17.25 mm in 4 cases closed with synthetic patch and closed in 48 patients with primary repair method was found to be 17.60 mm. Preopertif of teleradyogram cardiothoracic ratio 54% on average in the early period were 56% and 53% in the long term. Preoperative ejection fraction 67.50%, 68.73%, respectively, early and long-term, 69.86%, respectively. Mean preoperative pulmonary artery pressure 43.94 mmHg, 37.06 mmHg and 28.06 mmHg, respectively, early and was found to be in the long term. Right atrial diameter echocardigraphy preoperative, early and long-term, respectively, 44.24 mm, 41.58 mm and 37.89 mm, respectively. None of the patients in hospital mortality was observed. Discussion: Early surgical closure of ostium secundum ASD and believe that the long-term efficient and reliable method.