A new surgical technique for left atrial reduction in giant left atrium.
JTCVS Tech
; 17: 56-64, 2023 Feb.
Article
en En
| MEDLINE
| ID: mdl-36820348
ABSTRACT
Objective:
The study objective was to evaluate the safety and clinical and echocardiographic outcomes of a new surgical technique in adult patients diagnosed with a giant left atrium.Methods:
We analyzed a cohort of patients who underwent left atrium reduction surgery between January 2016 and June 2020 performed by a specialized surgical team in 2 national reference centers in Lima, Peru. We assessed the major adverse valvular-related events and the New York Heart Association functional class as primary clinical outcomes. Also, our primary echocardiographic endings were the diameter, area, and volume of the left atrium. We assessed these variables at 3 time periods baseline (t0), perioperative period (t1), and extended follow-up (t2 12 ± 3.4 months). We carried out descriptive and bivariate exploratory statistical analysis for dependent measures.Results:
We included 17 patients, 70.6% of whom were women. Rheumatic mitral valve disease (76.5%) was the main etiology. We performed 14 (82.4%) mitral valve replacements and 3 repairs. Major adverse valvular-related events occurred in 1 patient (5.9%) (hemorrhagic stroke) at t1. A significant reduction in the size of the left atrium was observed diameter (77 mm vs 48 mm, P < .001), area (75 cm2 vs 31 cm2, P < .001), and volume (332 cm3 vs 90 cm3, P < .001). Compared with t0 and t1, these echocardiographic findings remained without significant changes during t2.Conclusions:
Our surgical left atrium reduction technique was associated with improved clinical functionality and reduced left atrium measures in patients with a giant left atrium undergoing mitral valve surgery.
CPB, cardiopulmonary bypass; GLA, giant left atrium; IQR, interquartile range; LA, left atrium; MAVRE, major adverse valvular-related events; MV, mitral valve; NYHA, New York Heart Association; RHD, rheumatic heart disease; SR, sinus rhythm; atrial fibrillation; developing countries; giant left atrium; left atrial reduction surgery; mitral valve disease
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
JTCVS Tech
Año:
2023
Tipo del documento:
Article
País de afiliación:
Perú
Pais de publicación:
EEUU
/
ESTADOS UNIDOS
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ESTADOS UNIDOS DA AMERICA
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EUA
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UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA