Alper Ucak1, Veysel Temizkan2, Murat Ugur2, Ahmet Erturk Yedekci2, Omer Uz3, Arif Selcuk2, Ahmet Turan Yilmaz4. 1. Department of Cardiovascular Surgery, GATA Haydarpasa Training Hospital, Istanbul, Turkey. Email: dralperucak@gmail.com. 2. Department of Cardiovascular Surgery, GATA Haydarpasa Training Hospital, Istanbul, Turkey. 3. Department of Cardiology, GATA Haydarpasa Training Hospital, Istanbul, Turkey. 4. Department of Anesthesiology, Kyrenia Military Hospital, Cyprus.
Abstract
INTRODUCTION: In this study we compared the effects of two different surgical procedures for closure of adult atrial septal defect (ASD) on postoperative P-wave changes. METHODS: Patients who underwent cardiac surgery for secundum type ASD closure were evaluated retrospectively. Seventy-two patients with primary repair of ASD and 29 patients with pericardial patch plasty repair were compared according to Pmax, Pmin and P-wave dispersions (Pd). RESULTS: In each group, the increases in postoperative maximum P-wave duration (Pmax) and minimum P-wave duration (Pmin) were statistically significant. There was no statistically significant difference between post- and pre-operative Pd values. In the comparison between group 1 and group 2 in terms of postoperative P-wave changes (Pmax, Pmin, Pd) there was no statistically significant difference. CONCLUSION: Comparing patch plasty and primary repair for the surgical closure of ASD in the early to mid-postoperative period, no difference was found and both surgical procedures can be performed in adult ASDs.
INTRODUCTION: In this study we compared the effects of two different surgical procedures for closure of adult atrial septal defect (ASD) on postoperative P-wave changes. METHODS:Patients who underwent cardiac surgery for secundum type ASD closure were evaluated retrospectively. Seventy-two patients with primary repair of ASD and 29 patients with pericardial patch plasty repair were compared according to Pmax, Pmin and P-wave dispersions (Pd). RESULTS: In each group, the increases in postoperative maximum P-wave duration (Pmax) and minimum P-wave duration (Pmin) were statistically significant. There was no statistically significant difference between post- and pre-operative Pd values. In the comparison between group 1 and group 2 in terms of postoperative P-wave changes (Pmax, Pmin, Pd) there was no statistically significant difference. CONCLUSION: Comparing patch plasty and primary repair for the surgical closure of ASD in the early to mid-postoperative period, no difference was found and both surgical procedures can be performed in adult ASDs.
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