African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 39

Full Length Research Paper

Surgical management and long term postoperative follow-up of atrial septal defects in adults

Kouassi Antonin SOUAGA
  • Kouassi Antonin SOUAGA
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Jean Calaire DEGRÉ
  • Jean Calaire DEGRÉ
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Koutouan Eric KATCHÉ
  • Koutouan Eric KATCHÉ
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Yoboua Aimé KIRIOUA-KAMENAN
  • Yoboua Aimé KIRIOUA-KAMENAN
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Kwadjau Anderson AMANI
  • Kwadjau Anderson AMANI
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Gnamien Randolph NIAVA
  • Gnamien Randolph NIAVA
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Kouadio Joseph KOUAME
  • Kouadio Joseph KOUAME
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Landry KOHOU-KONE
  • Landry KOHOU-KONE
  • Department of Anesthesia and Intensive Care of the Abidjan Heart Institute, Côte d’Ivoire
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Yves N'GORAN
  • Yves N'GORAN
  • Department of Pediatric Cardiology of the Abidjan Heart Institute, Côte d’Ivoire
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Kouassi Flavien KENDJA
  • Kouassi Flavien KENDJA
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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Michel KANGAH
  • Michel KANGAH
  • Department of Cardiovascular Surgery of the Abidjan Heart Institute, Côte d’Ivoire
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  •  Received: 20 July 2021
  •  Accepted: 06 October 2021
  •  Published: 31 October 2021

Abstract

The aim is to report an Ivorian experience of the surgical management of atrial septal defects in adulthood. Our retrospective study included 19 patients over 18 years old operated on for atrial septal defects (ASD) between January 2005 and December 2015 at the Abidjan Heart Institute (AHI). 13 women and 6 men with a mean age of 26±9.07 years were included. For each patient we noted the clinical and para-clinical signs as well as the operative result and the short and long term follow-up data. Patients were symptomatic in 73.7% of cases. Two patients had atrial flutter. On cardiac echo-Doppler, the right ventricle measured 43.5 ±4.2 mm. The systolic pulmonary artery pressure was 45 ± 14.7 mmHg. There were 3 cases of grade III tricuspid insufficiency and 1 case of abnormal venous return. Closure of the septal defect was performed with an autologous pericardial patch in 18 cases. Operative mortality was nil. The average length of stay in the surgical intensive care unit was 2.5 days. Eleven patients presented immediate postoperative complications, including 2 cardiac and 9 extracardiac. The total postoperative hospital stay was 14.7 days. After a mean follow-up of 8.25 ± 4 years, all patients had functional improvement with a significant decrease in right ventricular size and pulmonary arterial pressure. Surgical management of atrial septal defects in adulthood is associated with low mortality with a satisfactory functional outcome.

Key words: Atrial septal defect, surgical closure, adult.