The change in mitral valve prolapse after atrial septal defect closure procedure

Document Type : Research Paper

Authors

1 cardiovascular department, Faculty of Medicine, Mashhad university of medical sciences, Mashhad,Iran

2 general practitioner, Faculty of medicine, Mashhad university of medical science, Mashhad, Iran.

3 Assistant Professor of Cardiovascular Department, Echocardiography Fellowship, Vascular Surgery Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant professor, Ghaem Hospital. Faculty of medicine, Mashhad University of medical science, Mashhad, Iran.

Abstract

Introduction: Congenital heart disease could have effect on life expectancy and may be associated with other anomalies causing hemodynamic abnormality which regress after resolving the shunt. The purpose of this study was to investigate the change in the mitral valve prolapse after defect closure in patients with atrial septal defect.
Methods & Materials: This study including all patients with atrial septal defect (ASD) who referred to Ghaem and Imam Reza Hospital in Mashhad from September 2017 to September 2018, and had been candidates for atrial septal defect closure. Demographic data were collected. Two-dimensional echocardiography was done before and after defect closure procedure. Exclusion criteria including patients with suboptimal echocardiography view and post procedure residual shunt.
Results: The results of this study showed in patients with atrial septal defect, the prevalence of mitral valve prolapse was 51.2%. Also, 19.05% of patients with mitral valve prolapse before the defect closure procedure, did not have any prolapse after the procedure. On the other hand, the mean and standard deviation of right ventricle and right atrium size and pulmonary artery pressure after the procedure were significantly lower than values before the procedure.
Conclusion: The results of this study indicated, in the presence of ASD, right ventricular (RV) volume overload by effect on left ventricle, could cause mitral valve structural abnormality. This abnormality could be regress after ASD closure and resolving of shunt effect on RV.

Keywords

References

  1. Ballester M, Presbitero P, Foale R, Rickards A, McDonald L. Prolapse of the mitral valve in secundum atrial septal
    defect: a functional mechanism. European heart journal. 1983;4(7):472-6.
    2. Kang J, Das B. Emergent presentation of decompensated mitral valve prolapse and atrial septal defect. The western
    journal of emergency medicine. 2015;16(3):432-4.
    3. Toyono M, Fukuda S, Gillinov AM, Pettersson GB, Matsumura Y, Wada N, et al. Different determinants of residual
    tricuspid regurgitation after tricuspid annuloplasty: comparison of atrial septal defect and mitral valve prolapse. Journal
    of the American Society of Echocardiography : official publication of the American Society of Echocardiography.
    2009;22(8):899-903.
    4. Schreiber TL, Feigenbaum H, Weyman AE. Effect of atrial septal defect repair on left ventricular geometry and
    degree of mitral valve prolapse. Circulation. 1980;61(5):888-96.
    5. Tagarakis GI, Karantzis I, Tsolaki F, Stylianakis GE, Daskalopoulos ME, Tsilimingas NB. Classic and non-classic
    forms of mitral valve prolapse. Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology. 2012;12(1):2-
    4.
    6. McDonald A, Harris A, Jefferson K, Marshall J, McDonald L. Association of prolapse of posterior cusp of mitral
    valve and atrial septal defect. British heart journal. 1971;33(3):383-7.
    7. Suchon E, Podolec P, Plazak W, Tomkiewicz-Pajak L, Pieculewicz M, Mura A, et al. Mitral valve prolapse
    associated with ostium secundum atrial septal defect--a functional disorder. Acta cardiologica. 2004;59(2):237-8.
    8. Raju PK, Rajani M, Shrivastava S. Mitral valve prolapse associated with secundum atrial septal defect: clinical,
    haemodynamic and angiographic correlations. The Journal of the Association of Physicians of India. 1983;31(11):709-
    13.
    9. Ohta M, Yamaguchi T, Uehara T, Hayashida K, Naitoh H, Nishimura T, et al. [Mitral valve prolapse in secundum
    atrial septal defect--a new radiological interpretation (author's transl)]. Nihon Igaku Hoshasen Gakkai zasshi Nippon
    acta radiologica. 1981;41(9):841-9.
    10. Almalla M, Schroeder J, Altiok E, Marx N, Reith S. Persistent iatrogenic atrial septal defect after percutaneous
    mitral valve repair using the MitraClip system: one step forward or two steps back. European heart journal.
    2017;38(suppl_1).
    11. Saitoh T, Izumo M, Furugen A, Tanaka J, Miyata-Fukuoka Y, Gurudevan SV, et al. Echocardiographic evaluation
    of iatrogenic atrial septal defect after catheter-based mitral valve clip insertion. The American journal of cardiology.
    2012;109(12):1787-91.
    12. Hoffman JI, Kaplan S. The incidence of congenital heart disease. Journal of the American College of Cardiology.
    2002;39(12):1890-900.
    13. van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, et al. Birth prevalence of
    congenital heart disease worldwide: a systematic review and meta-analysis. Journal of the American College of
    Cardiology. 2011;58(21):2241-7.
    14. Khan AA, Tan JL, Li W, Dimopoulos K, Spence MS, Chow P, et al. The impact of transcatheter atrial septal defect
    closure in the older population: a prospective study. JACC Cardiovascular interventions. 2010;3(3):276-81.
    15. Nikyar B, Sedehi M, Mirfazeli A, Qorbani M, Golalipour MJ. Prevalence and Pattern of Congenital Heart Disease
    among Neonates in Gorgan, Northern Iran (2007-2008). Iranian journal of pediatrics. 2011;21(3):307-12.
    16. Silvestry FE, Cohen MS, Armsby LB, Burkule NJ, Fleishman CE, Hijazi ZM, et al. Guidelines for the
    Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of
    Echocardiography and Society for Cardiac Angiography and Interventions. Journal of the American Society of
    Echocardiography : official publication of the American Society of Echocardiography. 2015;28(8):910-58.
    17. Sattur S, Bates S, Movahed MR. Prevalence of mitral valve prolapse and associated valvular regurgitations in
    healthy teenagers undergoing screening echocardiography. Experimental and clinical cardiology. 2010;15(1):e13-5.
  2. 18. Roy RR, Saha PK, Yusuf MA, Saha H, Hasan MI, Sarkar RD. Associated Valvular Heart Diseases among ASD
    Patients Undergoing Surgical Repair. Journal of Current and Advance Medical Research. 2018;5(2):60-3.
    19. Salehian O, Horlick E, Schwerzmann M, Haberer K, McLaughlin P, Siu SC, et al. Improvements in cardiac form
    and function after transcatheter closure of secundum atrial septal defects. Journal of the American College of
    Cardiology. 2005;45(4):499-504.
    20. Teo KS, Dundon BK, Molaee P, Williams KF, Carbone A, Brown MA, et al. Percutaneous closure of atrial septal
    defects leads to normalisation of atrial and ventricular volumes. Journal of cardiovascular magnetic resonance : official
    journal of the Society for Cardiovascular Magnetic Resonance. 2008;10:55.
    21. Nagata S, Nimura Y, Sakakibara H, Beppu S, Park YD, Kawazoe K, et al. Mitral valve lesion associated with
    secundum atrial septal defect. Analysis by real time two dimensional echocardiography. British heart journal.
    1983;49(1):51-8.
    22. Furugen M, Watanabe N, Nishino S, Kimura T, Ashikaga K, Kuriyama N, et al. Unique mechanism of mitral valve
    prolapse in atrial septal defect: Three-dimensional insights into mitral complex geometry using real-time
    transesophageal echocardiography. Echocardiography. 2020 ;37:445-452. doi: 10.1111/echo.14623.
    23. Hiraishi M1, Tanaka H, Motoji Y, Sawa T, Tsuji T, Miyoshi T, et al. Impact of Right Ventricular Geometry on
    Mitral Regurgitation After Transcatheter Closure of Atrial Septal Defect. Int Heart J. 2015;56:516-21. doi:
    10.1536/ihj.15-073. Epub 2015 Sep 11.
    24. Park J, Lee SC, Kim JB, Song JM, Yun SC, Yun TJ. Deterioration of Mitral Valve Competence After the Repair
    of Atrial Septal Defect in Adults. The Annals of Thoracic surgery. 2011;92:1629 –33.
    DOI:https://doi.org/10.1016/j.athoracsur.2011.05.118
    25. Hyun Jun J , Kang M-K , Hyeon J-S , Choi E, Kim Y , Kim KS , et al. Mitral regurgitation detected during the
    intraoperative period after atrial septal defect closure: a case report. Journal of Cardiothoracic Surgery. 2019; 14:140.
medical journal of mashhad university of medical sciences
Volume 63, Issue 2
July and August 2020
Pages 2262-2271

Files

Share

How to cite

Statistics