Summary
A total of 25 children operated on for atrial septal defect were studied by cross-sectional echocardiography before and after operation. Right atrial and right ventricular dimensions and areas were measured preoperatively and 1–4 years (median, 32 months) postoperatively. The length, width, and area of the right atrium (RA) and the right ventricle (RV) were measured in the apical and the subcostal four-chamber views. The dimension of the RV outflow tract (RVOT) was measured in the parasternal short-axis view.
Preoperatively, all group mean values except the subcostal four-chamber length of the RV were significantly larger than normal.
After surgery, there was a significant decrease in all of the parameters studied, except for RV length. The mean postoperative values of RA measurements in the apical four-chamber view and of RVOT were still significantly larger than normal. The RV four-chamber measurements except the apical four-chamber length were not significantly enlarged. The greatest decrease in RA and RV size occurred in the first postoperative year. Longer follow-up periods did not change the measurements significantly.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Björkhem G, Lundström NR (1980) Echocardiographic studies of children operated on for congenital heart disease: evaluation during the first postoperative year.Eur J Cardiol 11:33–50
Bommer W, Weinert L, Neumann A, Neef J, Mason D, DeMaria A (1979) Determination of right atrial and right ventricular size by two-dimensional echocardiography.Circulation 60:91–100
DaCosta J, Rebocho M, Real T, Guimaraes L (1978) Results following closure of ostium secundum atrial septal defects.J Cardiovasc Surg 19:567–570
Fontana G, Kirkman J, DiSessa T, Hagan A, Hiraishi S, Isabel-Jones J, Friedman W (1982) Evaluation of right ventricular and right atrial size in children with atrial septal defect using two-dimensional apex echocardiography.J Clin Ultrasound 10:385–390
Hanséus K, Björkhem G, Lundström N-R (1988) Dimensions of cardiac chambers and great vessels by cross-sectional echocardiography in infants and children.Pediatr Cardiol 9:7–15
Hiraishi S, DiSessa T, Jarmakani J, Nakanishi T, Isabel-Jones I, Friedman W (1982) Cross-sectional echocardiographic assessment of right ventricular volume in children with congenital heart disease.Am J Cardiol 50:1368–1375
Meyer R, Korfhagen J, Covitz W, Kaplan S (1982) Long-term follow-up study after closure of secundum atrial septal defect in children: an echocardiographic study.Am J Cardiol 50:145–148
Nazakawa M, Jarmakani J, Gyepes M, Prochazka J, Yabek S, Marks R (1977) Pre- and postoperative ventricular function in infants and children with right ventricular volume overload.Circulation 55:479–484
Pearlman A, Borer J, Clark C, Henry W, Redwood D, Morrow A, Epstein S (1978) Abnormal right ventricular size and ventricular septal motion after atrial septal defect closure.Am J Cardiol 41:295–301
Silverman N, Hudson S (1983) Evaluation of right ventricular volume and ejection fraction by two-dimensional echocardiography.Pediatr Cardiol 4:197–204
Watanabe T, Katsume H, Matsukubo H, Furukawa K, Ijichi H (1982) Estimation of right ventricular volume with two-dimensional echocardiography.Am J Cardiol 49:1946–1953
Wessel A (1985) Normal values of two-dimensional echocardiographic evaluation of left and right ventricular geometry in children.Herz 10:248–254
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hanséus, K., Björkhem, G., Lundström, NR. et al. Cross-sectional echocardiographic measurement of right atrial and right ventricular size in children with atrial septal defect before and after surgery. Pediatr Cardiol 9, 231–236 (1988). https://doi.org/10.1007/BF02078414
Issue Date:
DOI: https://doi.org/10.1007/BF02078414