ASD device closure in elderly adults

  • Chandra Mani Adhikari Shahid Gangalal National Heart Center, Kathmandu, Nepal https://orcid.org/0000-0001-5811-9977
  • Sachin Dhungel Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Amrit Bogati Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Jagat Adhikari Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Manish Shrestha Shahid Gangalal National Heart Center, Kathmandu, Nepal
  • Kiran Prasad Acharya Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0003-2765-4242
Keywords: ASD, Trans catheter closure, Amplatzer Septaloccluder

Abstract

Background: Closure of ASDs in elderly patients caused significant clinical and hemodynamic improvement after device closure.

Aims and Objective: We aim to share our experience of ASD device closure in elderly adults.

Materials and Methods: It was a prospective single center study done at Shahid Gangalal National Heart Centre. All elderly patients (>50years) who underwent ASD device closure fromFeb 2016 to July 2018 and completed three months of device closure were prospectively follow up for the symptoms, RA and RV dimension, Tricuspid Regurgitation and Tricuspid Regurgitation pressure gradient (TRPG).

Results: During the study period 48 elderly adults underwent successful ASD device closure. Except one patient we could follow up all patients. Among the patient’s 33 were female, Age ranged from 50years to 72years with the mean age of 55 years. Shortness of breath was the most common symptom during presentation. ASD size ranged from 10mm to 33mm with the mean of 23mm. Device size ranged from 14mm to 40mm with the mean of 29mm. Amplatzer septal occluder was used in 47 patients. RA and RV were dilated in all patients. Mild TR was present in 26 patients, Moderate TR in 17 patients, Severe TR in 5 patients. Mean follow-up time was 12 months. Symptoms reduced in all patients expect one. RA and RV size reduced in all patients. Tricuspid regurgitation pressure gradient reduced from mean of 56 mmHg to Mean of 16 mmHg. During the follow up level of tricuspid regurgitation reduced, 11 patients had mild TR, Trace TR in 15 patients.

Conclusion: ASD device closure can result in improvement in clinical and hemodynamic in elderly adults.

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Author Biographies

Chandra Mani Adhikari, Shahid Gangalal National Heart Center, Kathmandu, Nepal

Cardiologist

Sachin Dhungel, Shahid Gangalal National Heart Center, Kathmandu, Nepal

Registrar, Department of Cardiology

Amrit Bogati, Shahid Gangalal National Heart Center, Kathmandu, Nepal

Registrar, Department of Cardiology

Jagat Adhikari, Shahid Gangalal National Heart Center, Kathmandu, Nepal

Registrar, Department of Cardiology

Manish Shrestha, Shahid Gangalal National Heart Center, Kathmandu, Nepal

Pediatric Cardiologist

Kiran Prasad Acharya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Resident, Department of Cardiology

Published
2019-05-01
How to Cite
Adhikari, C., Dhungel, S., Bogati, A., Adhikari, J., Shrestha, M., & Acharya, K. (2019). ASD device closure in elderly adults. Asian Journal of Medical Sciences, 10(3), 17-20. https://doi.org/10.3126/ajms.v10i3.23195
Section
Articles