Mitral Regurgitation Associated with Secundum Atrial Septal Defect
Keywords:
Mitral regurgitation, secundum atrial septal defectAbstract
Introduction: Mitral regurgitation associated with secundum atrial septal defect is not uncommon. Wereported our experiences and also reviewed its etiologies and managements in the literatures.
Patients and Methods: Mitral regurgitation was found in 13% (12 patients) of all patients with
secundum atrial septal defect (93 patients) who were operated on during 9-year period at Yala Hospital. The
etiologies were as follows : rheumatic valve 3, prolapsed anterior leaflet 2, congenital abnormality 2, specific
pathology complex 4, and chronic infective endocarditis 1. All patients underwent closure of secundum atrial
septal defect with mitral valve repair.
Results: There was one death and one serious post-operative complication. On follow-up, the
echocardiograms showed no mitral regurgitation in 10 patients and mild mitral regurgitation in 1 patient.
Conclusion: Mitral regurgitation associated with secundum atrial septal defect could exist as an coexistent
lesion or as the result of hemodynamic change occurred in secundum atrial septal defect. Its
recognisation is important and most of them could be repaired with satisfactory results.
References
1. Leachman RD, Cokkinos DV, Cooley DA. Association of
secundum atrial septal defects with mitral valve prolapse.
Am J Cardiol 1976;38:167-9.
2. Ballester M, Presbitero P, Foale R, et al. Prolapse of the mitral
valve in secundum atrial septal defect: A functional
mechanism. Eur Heart J 1983;7:472- 6.
3. Kestelli M. Mitral valve prolapse in atrial septal defect. Int J
Thorac Cardiovasc Surg 2001;5:1.
4. Toyono M, Pettersson GB, Matsumura Y, et al. Preoperative
and postoperative mitral valve prolapse and regurgitation
in adult patients with secundum atrial septal defect.
Echocardiography 2008;25:1086-93.
5. Davies RS, Green DC, Brott WH. Secundum atrial septal
defect and cleft mitral valve. Ann Thorac Surg 1977;24:28-
33.
6. Boucher CA, Liberthson RR, Buckley MJ. Secundum arial
septal defect and significant mitral regurgitation : incidence,
management and morphologic basis. Chest 1979;75:69.
7. Furuta S, Wanibuchi Y, Ino T, Aoki K. Etiology of mitral
regurgitation in secundum atrial septal defect. Jap
Circulation J 1982;46:346-51.
8. Pansingha T, Chaithiraphan S, Prachuabmoa K, et al. Mitral
regurgitation associated with secundum atrial septal defect.
J Med Assoc Thailand 1977;60:383-8.
9. Shigenobu M, Kay JH, Mendez M, et al. Surgery for mitral
and tricuspid insufficiency associated with secundum atrial
septal defect. J Thorac Cardiovas Surg 1978;75:290-5.
10. Hynes KM, Frye RL, Brandenburg RO, et al. Atrial septal
defect (Secundum) associated with mitral regurgitation.
Am J Cardiol 1974;34:333-8.
11. Murray GF, Wilcox BR. Secundum atrial septal defect and
mitral valve incompetence. Ann Thorac Surg 1975; 20:136-
43.
12. Davies MJ. Mitral valve in secundum atrial septal defects. Br
Heart J 1981;46:126-8.
secundum atrial septal defects with mitral valve prolapse.
Am J Cardiol 1976;38:167-9.
2. Ballester M, Presbitero P, Foale R, et al. Prolapse of the mitral
valve in secundum atrial septal defect: A functional
mechanism. Eur Heart J 1983;7:472- 6.
3. Kestelli M. Mitral valve prolapse in atrial septal defect. Int J
Thorac Cardiovasc Surg 2001;5:1.
4. Toyono M, Pettersson GB, Matsumura Y, et al. Preoperative
and postoperative mitral valve prolapse and regurgitation
in adult patients with secundum atrial septal defect.
Echocardiography 2008;25:1086-93.
5. Davies RS, Green DC, Brott WH. Secundum atrial septal
defect and cleft mitral valve. Ann Thorac Surg 1977;24:28-
33.
6. Boucher CA, Liberthson RR, Buckley MJ. Secundum arial
septal defect and significant mitral regurgitation : incidence,
management and morphologic basis. Chest 1979;75:69.
7. Furuta S, Wanibuchi Y, Ino T, Aoki K. Etiology of mitral
regurgitation in secundum atrial septal defect. Jap
Circulation J 1982;46:346-51.
8. Pansingha T, Chaithiraphan S, Prachuabmoa K, et al. Mitral
regurgitation associated with secundum atrial septal defect.
J Med Assoc Thailand 1977;60:383-8.
9. Shigenobu M, Kay JH, Mendez M, et al. Surgery for mitral
and tricuspid insufficiency associated with secundum atrial
septal defect. J Thorac Cardiovas Surg 1978;75:290-5.
10. Hynes KM, Frye RL, Brandenburg RO, et al. Atrial septal
defect (Secundum) associated with mitral regurgitation.
Am J Cardiol 1974;34:333-8.
11. Murray GF, Wilcox BR. Secundum atrial septal defect and
mitral valve incompetence. Ann Thorac Surg 1975; 20:136-
43.
12. Davies MJ. Mitral valve in secundum atrial septal defects. Br
Heart J 1981;46:126-8.
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Published
2010-12-31
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Waikittipong S. Mitral Regurgitation Associated with Secundum Atrial Septal Defect. Thai J Surg [Internet]. 2010 Dec. 31 [cited 2024 Apr. 17];31(4). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227601
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