OSTIUM-SECUNDUM ATRIAL SEPTAL-DEFECT IN THE ELDERLY

被引：10

作者：

LANDI, F ^{[1
]}

CIPRIANI, L ^{[1
]}

COCCHI, A ^{[1
]}

ZUCCALA, G ^{[1
]}

CARBONIN, P ^{[1
]}

机构：

[1] UNIV CATTOLICA SACRO CUORE, IST CLIN MED,CATTEDRA GERIATR,DEPT GERIATR, LARGO FRANCESCO VITO 1, I-00168 ROME, ITALY

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 1991年 / 39卷 / 01期

关键词：

D O I：

10.1111/j.1532-5415.1991.tb05907.x

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Atrial septal defect (ASD) is one of the most common congenital cardiac anomalies in adults. Life expectancy is shortened, and almost 90% of patients die by the age of 60 years. The progression of this congenital disease to congestive heart failure has been related to several factors such as the onset of pulmonary hypertension, arrhythmias, bronchopulmonary infections, or the development of other cardiovascular diseases. We describe three cases of very old patients with significant ASDs and late development of symptoms. Given the higher risks and poorer long-term results of surgical closure of the defect in advanced age, the indications for such an intervention in elderly patients should be carefully evaluated.

引用

页码：60 / 63

页数：4

共 42 条

[21]

LANCELIN B, 1977, ARCH MAL COEUR VAISS, V70, P1283

[22] RIGHT VENTRICULAR-FUNCTION IN ADULT ATRIAL SEPTAL-DEFECT - PREOPERATIVE AND POSTOPERATIVE ASSESSMENT AND CLINICAL IMPLICATIONS [J].