Frequency of atrial septal defect in patients of rheumatic mitral stenosis undergoing percutaneous transseptal mitral commisurotomy.

Authors

  • Munir Ahmad Faisalabad Institute of Cardiology, Faisalabad
  • Qasim Rauf Faisalabad Institute of Cardiology, Faisalabad
  • Muhammad Akram Faisalabad Institute of Cardiology, Faisalabad
  • Naeem Hameed Faisalabad Institute of Cardiology, Faisalabad
  • Shahid Iqbal Faisalabad Institute of Cardiology, Faisalabad
  • Maryem Shah

DOI:

https://doi.org/10.29309/TPMJ/2020.27.04.4567

Keywords:

Atrial Septal Defect, Mitral Stenosis, Percutaneous Transseptal Mitral Commissurotomy

Abstract

Objectives: To determine the frequency of atrial septal defect in patients of rheumatic mitral stenosis undergoing percutaneous trans septal mitral commissurotomy. Study Design: Cross sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: 15-07-2018 to 14-01-2019. Material & Methods: Study was approved by hospital ethical committee. A total of 45 patients were included in the study that fulfilled the study inclusion criteria and gave written informed consent. PTMC was performed using Inoue balloon technique through right femoral venous route under local anesthesia. Transthoracic echocardiography was done after 48 hours of PTMC for ASD assessment. Results: Out of 45 patients there were 17 (37.8%) males and 28 (62.2%) females. The mean age was (29.06±10.85) years. There were 9 (20%) patients with NYHA functional class II, 28(62.2%) with NYHA functional class III and 8(17.8%) with NYHA functional class IV symptoms. ASD was detected in 15 (33.3%) patients after 48 hours of PTMC. Conclusion: In this study frequency of ASD in patients of mitral stenosis undergoing PTMC was 33.3%. Results of this study can help to identify the patients who will be potential candidates for closure of residual ASD.

Author Biographies

Munir Ahmad, Faisalabad Institute of Cardiology, Faisalabad

MBBS, FCPS (Medicine), FCPS (Cardiology)

Assistant Professor Cardiology

 

Qasim Rauf, Faisalabad Institute of Cardiology, Faisalabad

MBBS, FCPS (Cardiology)

Senior Registrar Cardiology

 

Muhammad Akram, Faisalabad Institute of Cardiology, Faisalabad

MBBS, MCPS (Medicine), FCPS (Cardiology)

Assistant Professor Cardiology

 

Naeem Hameed, Faisalabad Institute of Cardiology, Faisalabad

MBBS, FCPS (Cardiology)

Senior Registrar Cardiology

 

Shahid Iqbal, Faisalabad Institute of Cardiology, Faisalabad

MBBS, FCPS (Cardiology)

Senior Registrar Cardiology

 

Maryem Shah

MBBS

W.M.O

Primary & Secondary Healthcare

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Published

2020-04-10