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January 1, 1981Japanese Circulation JournalOpen Access

Cross-sectional echocardiographic study on the mitral valve prolapse associated with secundum atrial septal defect. Pre- and post-operative comparison.

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Key result

Following closure of secundum atrial septal defect, anterior mitral valve prolapse decreased from 28 to 17 of 53 patients, and the left ventricle became more circular (p<0.01).

Why the study?

Does closure of secundum atrial septal defect reduce the incidence of mitral valve prolapse and improve left ventricular geometry?

Population

77 patients with secundum atrial septal defect (ASD)

Comparison

Closure of ASD vs Pre-operative state

Design

Cross-sectional

Authors

TKTadashi KambeSISatoshi IchimiyaMTMasao Toguchi

Discussion

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Overview

ASD closure may improve mitral valve and LV geometry; hypothesis-generating and requires prospective confirmation before practice change.

Study Design

Type

Cross-Sectional (n=77)

Structured PICO

Does closure of secundum atrial septal defect reduce the incidence of mitral valve prolapse and improve left ventricular geometry?

P
Population
77 patients with secundum atrial septal defect, 53 of whom underwent pre- and post-operative echocardiographic evaluation.
E
Exposure
Closure of ASD
C
Comparator
Pre-operative state
O
Outcome
Incidence of mitral valve prolapse (MVP) and left ventricular distortion ratio (LVDR)surrogate

Main Result

p-value: p=<0.01

Surgical closure of secundum ASD reduces the incidence of anterior mitral valve prolapse and improves left ventricular geometry.

Cite This Study

Kambe et al. (1981) conducted a cross-sectional in Secundum atrial septal defect (n=77). Closure of atrial septal defect vs. Pre-operative state was evaluated on Incidence of anterior mitral valve prolapse and left ventricular distortion ratio (p=<0.01). Following closure of secundum atrial septal defect, anterior mitral valve prolapse decreased from 28 to 17 of 53 patients, and the left ventricle became more circular (p<0.01).

synapsesocial.com/papers/6a237defbcda00f3e09ffeb2https://doi.org/10.1253/jcj.45.260
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Two-dimensional echocardiographic findings in atrial septal defect.1977 · 74 citations
  2. 2Association of prolapse of posterior cusp of mitral valve and atrial septal defect.1971 · 63 citations
  3. 3Use of Echocardiography in Patients with Prolapsed Mitral Valve1971 · 203 citations
  4. 4Ultrasound Evaluation of Systolic Anterior Septal Motion in Patients With and Without Right Ventricular Volume Overload1974 · 98 citations
  5. 5Mechanism of abnormal septal motion in patients with right ventricular volume overload: a cross-sectional echocardiographic study.1976 · 266 citations