Echocardiographic Evaluation of Cardiac Remodeling After Surgical Closure of Ventricular Septal Defect in Different Age Group

Authors

  • Mohammad Aminullah Resident, Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Fahmida Akter Rima Lecturer,Department of Pathology, Dhaka Medical College, Dhaka
  • Asraful Hoque Resident Surgeon, Department of Cardiac Surgery, National Institute of Cardiovascular Diseases, Dhaka
  • Mokhlesur Rahman Sazal Resident Surgeon, Department of Vascular Surgery, National Institute of Cardiovascular Diseases, Dhaka
  • Prodip Biswas Resident,Department of Cardiac Surgery, National Heart Foundation Hospital and Research Institute, Dhaka
  • Rezwanul Hoque Professor, Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/jninb.v2i2.34097

Keywords:

Cardiac remodeling, ventricular septal defect, surgical closure, echocardiographic evaluation

Abstract

Background: Cardiac remodeling is important issue after surgical closure of ventricular septal defect.

Objective: The purpose of the present study was to evaluate cardiac remodeling by echocardiography by measuring the ejection fraction, fractional shortening, left ventricular internal diameter during diastole (LVIDd) and left ventricular internal diameter during systole (LVIDs) after surgical closure of ventricular septal defect in different age group.

Methodology: This prospective cohort studies was conducted in the Department of Cardiac Surgery at National Institute of Cardiovascular Disease (NICVD), Dhaka. Patient with surgical closure of VSD were enrolled into this study purposively and were divided into 3 groups according to the age. In group A (n=10), patients were within the age group of 2.0 to 6.0 years; age of group B (n=8) patients were 6.1-18.0 years and the group C (n=6) aged range was 18.1-42.0 years. Echocardiographic variables such as ejection fraction, fractional shortening, LVIDd, LVIDs were taken preoperatively and at 1st and 3rd month of postoperative values.

Result: A total number of 24 patients was recruited for this study. The mean ages of all groups were 12.60±12.09. After 1 month ejection fraction were decreased by 5.97%, 6.71% and 5.66% in group A, group B and group C respectively. After 3 months ejection fraction were increased by 6.13%, 5.13% and 5.14% in group A, group B and group C respectively. After 1 month fractional shortening were decreased by 13.55%, 9.30% and 9.09% in group A, group B and group C respectively. After 3 months fractional shortening were increased by 7.23%, 7.35% and 4.55% in group A, group B and group C respectively. After 1 month LVIDd were increased by 1.97%, 1.91% and 1.32% in group A, group B and group C respectively. After 3 months LVIDd were decreased by 10.84%, 9.89% and 7.34% in group A, group B and group C respectively. After 1 month LVIDs were increased by 2.19%, 2.86% and 1.98% in group A, group B and group C respectively. After 3 months LVIDs were decreased by 11.68%, 10.97% and 8.87% in group A, group B and group C respectively.

Conclusion: Cardiac remodeling occurred after surgical closure of ventricular septal defect and remodeling were more significant in younger age group.

Journal of National Institute of Neurosciences Bangladesh, 2016;2(2):69-74

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Published

2017-10-22

How to Cite

Aminullah, M., Rima, F. A., Hoque, A., Sazal, M. R., Biswas, P., & Hoque, R. (2017). Echocardiographic Evaluation of Cardiac Remodeling After Surgical Closure of Ventricular Septal Defect in Different Age Group. Journal of National Institute of Neurosciences Bangladesh, 2(2), 69–74. https://doi.org/10.3329/jninb.v2i2.34097

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Section

Original Research Articles