Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure
Aim. The main aim of our study was to compare the results of transcatheter atrial septal defect (ASD) closure versus minimally invasive cardiac surgery (MICS) focusing on cardiopulmonary exercise capacity and echocardiographic findings preoperatively and 1 month after defect closure.Material and met...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2020-09-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3879 |
| _version_ | 1797856753729142784 |
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| author | Hicaz Zencirkiran Agus Serkan Kahraman Mehmet Erturk Burak Onan Ali Kemal Kalkan Ahmet Guner Ali Birand Fatih Uzun Mehmet Emin Kalkan Mustafa Yildiz |
| author_facet | Hicaz Zencirkiran Agus Serkan Kahraman Mehmet Erturk Burak Onan Ali Kemal Kalkan Ahmet Guner Ali Birand Fatih Uzun Mehmet Emin Kalkan Mustafa Yildiz |
| author_sort | Hicaz Zencirkiran Agus |
| collection | DOAJ |
| description | Aim. The main aim of our study was to compare the results of transcatheter atrial septal defect (ASD) closure versus minimally invasive cardiac surgery (MICS) focusing on cardiopulmonary exercise capacity and echocardiographic findings preoperatively and 1 month after defect closure.Material and methods. 54 patients with ASD and finally 43 patients who were followed up were included in the study. 21 patients were in MICS (robotic or endoscopic approach) and 22 patients were in transcatheter closure arm. All patients investigated in detail by transesophageal echocardiography and underwent cardiopulmonary exercise test (CPET). At the end of first month, CPET and transthorasic echocardiography were reperformed.Results. There was significant improvement of physical capacity after 1 month following the transcatheter closure procedure documented by exercise time and VO 2 max. Tricuspid annular plane systolic excursion (TAPSE) and tricuspid lateral annular systolic velocity (Tri S) were not changed. In surgery group right heart diameters declined significantly; but VO 2 max, TAPSE and Tri S significantly decreased.Conclusion. Cardiopulmonary exercise function is increased in transcatheter closure group 1 month after closure and contrary not in MICS group. This may be caused by long recovery time of the right ventricle after surgery. Device closure of ASD is preferable to surgical closure if the anatomy is suitable. However, MICS for ASD closure is safe, with short recovery period and less scarring. |
| first_indexed | 2024-04-09T20:45:42Z |
| format | Article |
| id | doaj.art-793892a615e44df7b869350186611bc2 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:45:42Z |
| publishDate | 2020-09-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-793892a615e44df7b869350186611bc22023-03-29T21:23:35Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202020-09-0125810.15829/1560-4071-2020-38792981Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter ClosureHicaz Zencirkiran Agus0Serkan Kahraman1Mehmet Erturk2Burak Onan3Ali Kemal Kalkan4Ahmet Guner5Ali Birand6Fatih Uzun7Mehmet Emin Kalkan8Mustafa Yildiz9University of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalUniversity of Health Sciences Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center Training and Research HospitalAim. The main aim of our study was to compare the results of transcatheter atrial septal defect (ASD) closure versus minimally invasive cardiac surgery (MICS) focusing on cardiopulmonary exercise capacity and echocardiographic findings preoperatively and 1 month after defect closure.Material and methods. 54 patients with ASD and finally 43 patients who were followed up were included in the study. 21 patients were in MICS (robotic or endoscopic approach) and 22 patients were in transcatheter closure arm. All patients investigated in detail by transesophageal echocardiography and underwent cardiopulmonary exercise test (CPET). At the end of first month, CPET and transthorasic echocardiography were reperformed.Results. There was significant improvement of physical capacity after 1 month following the transcatheter closure procedure documented by exercise time and VO 2 max. Tricuspid annular plane systolic excursion (TAPSE) and tricuspid lateral annular systolic velocity (Tri S) were not changed. In surgery group right heart diameters declined significantly; but VO 2 max, TAPSE and Tri S significantly decreased.Conclusion. Cardiopulmonary exercise function is increased in transcatheter closure group 1 month after closure and contrary not in MICS group. This may be caused by long recovery time of the right ventricle after surgery. Device closure of ASD is preferable to surgical closure if the anatomy is suitable. However, MICS for ASD closure is safe, with short recovery period and less scarring.https://russjcardiol.elpub.ru/jour/article/view/3879atrial septal defectcardiopulmonary exercise testminimally invasive surgical procedurestranscatheter closure |
| spellingShingle | Hicaz Zencirkiran Agus Serkan Kahraman Mehmet Erturk Burak Onan Ali Kemal Kalkan Ahmet Guner Ali Birand Fatih Uzun Mehmet Emin Kalkan Mustafa Yildiz Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure Российский кардиологический журнал atrial septal defect cardiopulmonary exercise test minimally invasive surgical procedures transcatheter closure |
| title | Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure |
| title_full | Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure |
| title_fullStr | Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure |
| title_full_unstemmed | Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure |
| title_short | Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure |
| title_sort | comparison of cardiopulmonary exercise capacity in patients with atrial septal defect treated with minimally invasive cardiac surgery or transcatheter closure |
| topic | atrial septal defect cardiopulmonary exercise test minimally invasive surgical procedures transcatheter closure |
| url | https://russjcardiol.elpub.ru/jour/article/view/3879 |
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