Key result
ASD closure linked to altered atrial conduit and reservoir functions versus mitral cleft repair.
Why the study?
It is not completely understood why postpericardiotomy syndrome is more likely to develop after atrial septal defect closure.
Does speckle-tracking echocardiography reveal differences in atrial functions that explain the higher incidence of postpericardiotomy syndrome after atrial septal defect closure?
Case Report (n=2)
Does speckle-tracking echocardiography reveal differences in atrial functions that explain the higher incidence of postpericardiotomy syndrome after atrial septal defect closure?
Speckle-tracking echocardiography may reveal atrial function discrepancies that could help predict postpericardiotomy syndrome after ASD closure, warranting larger studies.
Speckle-tracking may help predict postpericardiotomy syndrome after ASD closure; leaves open whether routine assessment alters management.
Postpericardiotomy syndrome (PPS) involves the development of pericardial and pleural effusion following open cardiac surgery. To date, it is not completely understood why it is more likely to develop after atrial septal defect closure. This case-based brief report describes a discrepancy in the conduit and reservoir components of atrial functions by speckle-tracking echocardiography (STE) in a case following atrial septal defect (ASD) closure compared to another case who had a repair of the mitral cleft. This finding was associated with a mild effusion developing in ASD postoperative case. Despite the limited proofs brought by these two cases, it should encourage the implementation of larger cohort studies, testing atrial functions by STE, in patients after ASD closure, and calculating the diagnostic accuracy of different components of atrial functions in predicting PPS development.
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AbdelMassih et al. (2025) conducted a case report in Postpericardiotomy syndrome (n=2). Atrial septal defect closure vs. Mitral cleft repair was evaluated on Discrepancy in the conduit and reservoir components of atrial functions by speckle-tracking echocardiography. Atrial septal defect closure was associated with altered conduit and reservoir atrial functions on speckle-tracking echocardiography and mild effusion compared to mitral cleft repair in two cases.
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