@article{Waikittipong_2010, title={Mitral Regurgitation Associated with Secundum Atrial Septal Defect}, volume={31}, url={https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227601}, abstractNote={<div><strong>Introduction:</strong> Mitral regurgitation associated with secundum atrial septal defect is not uncommon. We<br>reported our experiences and also reviewed its etiologies and managements in the literatures.</div> <div><br><strong>Patients and Methods:</strong> Mitral regurgitation was found in 13% (12 patients) of all patients with<br>secundum atrial septal defect (93 patients) who were operated on during 9-year period at Yala Hospital. The<br>etiologies were as follows : rheumatic valve 3, prolapsed anterior leaflet 2, congenital abnormality 2, specific<br>pathology complex 4, and chronic infective endocarditis 1. All patients underwent closure of secundum atrial<br>septal defect with mitral valve repair.</div> <div><br><strong>Results:</strong> There was one death and one serious post-operative complication. On follow-up, the<br>echocardiograms showed no mitral regurgitation in 10 patients and mild mitral regurgitation in 1 patient.</div> <div><br><strong>Conclusion:</strong> Mitral regurgitation associated with secundum atrial septal defect could exist as an coexistent<br>lesion or as the result of hemodynamic change occurred in secundum atrial septal defect. Its<br>recognisation is important and most of them could be repaired with satisfactory results.</div>}, number={4}, journal={The Thai Journal of Surgery}, author={Waikittipong, Somchai}, year={2010}, month={Dec.} }