Page 20 - Journal of Structural Heart Disease Volume 3, Issue 3

Meeting Abstracts
Journal of Structural Heart Disease, June 2017, Volume 3, Issue 3:73-95
DOI: http://dx.doi.org/10.12945/j.jshd.2017.17.027
CSI Asia-Paci c 2017 Abstracts
20th Annual Meeting, Miami Beach, Florida, January 16, 2017 – January 19, 2017
Published online: June 2017
FEATURES OF PERIPARTUM DILATED CARDIOMYOPATHY
Abdullaev Timur Atanazarovich,
Kurbanov Nurali Abdurakhmanovich, Tsoy Igor Arsenevich, Mirzarakhimova Saodat Timurovna
Republican Specialized Center of Cardiology, Tashkent, Uzbekistan
Objective: To study the clinical course and prognosis of patients with peripartum cardiomyopathy form (PPCM).
Methods: A total of 50 PPCM patients aged 20 to 41 years (mean age 28,2 ± 0,8 years). All patients underwent: Holter ECG, echocardiogram, 6-minute walking test (6MWT) with the de nition of NYHA class, and life prognosis. Studying the dynamics of the disease lasted from 3 to 175 months (med 67,4 ± 5,4 months), while the mortality rate was 34% (17 patients). Patients were divided into 2 groups: I- amounted 17 patients died in the period from 3 to 131 months of observation (36,6 ± 7,2 months.). II -33 patients, survivors in the 31 to 175 months (On average 83,1 ± 5,7 months; p <0.001) surveillance. The nature of therapy in these groups did not di er.
Result: A group of patients with lethal outcome, compared with patients surviving in the control period was characterized by sig- ni cantly higher NYHA class: 3,6 ± 0,1 and 3,2 ± 0,1 ,respectively (p = 0,01), and disease duration was 7,8 ± 1,8 and 6,2 ± 1,2 months, respectively (p> 0.05). The length of the distance by 6MWT in the ref- erence period in group I was 25.6% lower than in the group II, and amounted to 170.3 ± 15.7 m and 214 ± 12,1 m (p = 0.02) respectively. In group I there is a marked decrease in the ejection fraction (EF) of LV (32,6 ± 1,7% and 37,6 ± 1,8%; p = 0.01), which was accompanied by signi cant di erences in the linear dimensions of the heart; EDD 6,8 ± 0,2 and 6,4 ± 0,09 sm (p = 0.04), ESD 5,9 ± 0,1 and 5,5 ± 0,3 sm (p = 0.01). In the analysis of ECG, a worse performance observed in group I; violation of AV conduction of I degree found in 5 (29.4%) and 4 (12.1%) pts, atrial brillation, paroxysmal in 3 (17.6%) and 1 (3.03%), Q wave in 3 (17.6%) and 1 (3.03%) cases, respectively, met group I and II, but was not statistically signi cant. Holter ECG showed that the PVCs of high grade was detected signi cantly more often in the deceased group (both P <0.05); Man 12 (70.6%) and 12 (36.4%), 6 (35.3%) and 3 (9.1%), an unstable ventricular tachycardia (less than 30 seconds) is
set at 2 (11.8%) and 4 (12.1%), sustained at 1 (5.9%) (30 seconds) of cases recorded only in the deceased group.
Conclusion: The results of the study of the life prognosis of patients with PPCM with prolonged follow-up (67,4 ± 5,4 months) showed that mortality rates was 34% (17 cases). The case of fatal heart failure is characterized by relatively severe symptoms, accompanied by a deterioration of the main parameters of intracardiac hemodynamics and accompanied by a signi cant increase in the incidence of ventric- ular arrhythmias of high gradation.
TRANSCATHETER RECONSTRUCTION OF SUBAORTIC RIDGE WITH CLOSURE OF PERIMEMBRANOUS SUBAORTIC VSD WITH OR WITHOUT AR
Hussein Abdulwahab M. Abdullah, MD, Hussein Abdulzahra, MD, Kamal A. Mohammed, MD
Ibn -Albitar Center for Cardiac Surgery, Baghdad, Iraq
Background: Subaortic ridge (SAR) is almost always a progressive dis- ease and recurrence after surgery may occur in nearly one third of patients.
Objective: To evaluate the safety and e cacy of management of PM VSD and SAR with or without AR using ADO type I.
Methods: During the period from 1/2/2014 to 1/10/2016, 29 of 318 patients (9.1%) with PM VSD were found to have SAR. The same pro- tocol for catheter closure of PM VSD under TTE was done. The aor- tic disc of the device was pulled toward the defect capturing and/or compressing the ridge against the ventricular septum.
Result: The patients age ranged from 1.5-35 years (mean=6.1 years) and their weight ranged from 7-73 kg (mean=16 kg).Those patients almost always have VSDs with complex anatomy including their close proximity to the aortic valve with 20-30% of malalignment, prolapsing RCC &/or NCC was found in 22 patients (75.8%) with mild-moderate AR in 11 patients (38%) whose TTE follow up revealed improvement in the severity of the AR. Obstructive SAR was found in 8 of 29 patients (27.6%) with the mean LVOT PG of 25 mmHg. Successful VSD closure with capturing and/or compressing the SAR was achieved in
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