ARYA Atherosclerosis Journal

Evaluation of cardiac function in children after percutaneous closure of atrial septal defect using speckle tracking echocardiography

Document Type : Original Article(s)

Authors

Mahdi Ghaderian 1
Bahar Dehghan 2
Mohammad Reza Sabri 3
Alireza Ahmadi 1
Ali Sadeghi-Lotfabadi 2

1 Associate Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

https://doi.org/10.22122/arya.v16i6.2128
Abstract
BACKGROUND: Atrial septal defect (ASD) is among the most common congenital anomalies that its neglect may cause severe right ventricular (RV)-associated cardiac dysfunction. Percutaneous closure of ASD is an efficient technique used commonly worldwide. Varieties of techniques have been used to assess postoperative changes of cardiac function. The current study has aimed to assess outcomes of percutaneous ASD closure using two-dimensional speckle tracking echocardiography (2D-STE).METHODS: This non-experimental research was conducted on 22 patients who volunteered for percutaneous ASD closure between 2016 and 2018. Cases were assessed three times including prior to percutaneous ASD closure, after 24 hours, and a month after procedure. Cases outcomes were assessed and compared during the time.RESULTS: Strain rate in RV middle septal wall was significantly different (P < 0.050) between before and one month after the procedure. Comparison of indices post procedure and one month later showed better RV strain pattern but they did not have a significant difference (P > 0.050).CONCLUSION: Based on this research, STE is a quick simple method of assessing cardiac chambers and function in details. It seems that this method can replace other traditional echocardiographic methods for cardiac function tests; thus, further studies with larger groups and longer follow-up duration are strongly recommended. 

Keywords

Atrial Septal Defect
Vascular Closure Devices
Echocardiography
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ARYA Atherosclerosis Journal
Volume 16, Issue 6 - Serial Number 6
November and December 2020
Pages 290-294

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