Page 29 - Journal of Structural Heart Disease Volume 3, Issue 3

Meeting Abstracts
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A repeat transthoracic echocardiogram was done three months post procedure and showed device in place with total occlusion of the tunnel. There was no aortic insu ciency noted.
Conclusion: Aorticocameral tunnels are extremely rare congenital cardiac anomalies. Imaging by TTE, MRI and angiography are of great help in diagnosis.
Surgical closure of tunnel along with repair of the associated car- diac defects has been achieved with satisfactory results in the past. However, with the availability of newer innovations and technol- ogy, transcatheter closure of tunnels with coils or duct occluders have become a better and more attractive alternative to surgery in selected cases without associated cardiac defects.
Reference:
1. IB Vijayalakshmi, P Syamasundar Rao, Reema Chugh. A Compre-
hensive Approach to Congenital Heart Diseases. JP Medical Ltd, 2013. 1st edition
INTERMEDIATE TERM FOLLOW UP ON THE
RESULTS OF TRANCATHETER CLOSURE OF DOUBLE COMMITTED SUBAORTIC VSD USING EITHER AMPLATZER DEVICE OR NIT OCCLUD LE COIL Kritvikrom Durongpisitkul, Paweena Chungsomprasong, Pornthip Panjasamarnwong, Suphalak Darunaitorn, Prakul Chanthong, Chodchanok Vijarnsorn, Jarupim Soongswang Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background: Transcatheter ventricular septal defect (VSD) is a chal- lenging treatment for doubly committed subarterial (DCSA) VSD.
Objective: To review intermediate term (3-5 years) results of tran- scatheter closure of DCSA VSD.
Methods: We retrospectively reviewed transcatheter closure of DCSA VSD using Amplatzer® device or Nit Occlud® Le VSD Coil.
Results: 69/73 patients (94.5%) had closure with median age and weight of 12 years and 37kg. There were 43 devices and 26 coils. The median VSD size in the device group was 6.1±1.8 mm vs 4.6±1. 2mm in coil, p<0.001. Trivial to mild AR were found in 34.9% of device group vs 36.5% in coil group with moderate AR of 14% vs 15.4% respectively, p=0.922. Complete closure was 87.5% in device group vs 84.5% in the coil group, p =0415. At ve years follow up trivial to mild AR were 46.9% in device group vs 48% in coil group with moderate AR of 3.1 % vs 0 %,p=0.772.
Conclusion: Device or coil can be used for transcatheter closure of DCSA VSD in DCSA. The degree AR appeared to be improved at ve year follow-up with most of patients showing no or less than mild AR.
ASSOCIATION BETWEEN ELECTROLYTE IMBALANCE AT ADMISSION AND PROGNOSIS IN PATIENTS WITH DECOMPENSATED HEART FAILURE: LONG-TERM RESULTS
Fazulina Christina Sergeevna, MD
Russian National Research Medicine University, Moscow, Russia
Background: This prospective study baseline on the data of 52 con- secutive patients admitted to the hospital due to acute decompen- sation of heart failure.
Heart failure physiology is extremely complex with a secondary sympathetic and neurohormonal activation. Electrolyte disorders are common and potentially fatal laboratory ndings for emergency patients, hence more frequent monitoring of the serum electrolyte concentrations becomes very important for the patients with heart failure.
Objectives: The present study was conducted with the aim to esti- mate association between electrolyte levels measured at admission and morbidity/mortality within the rst year after an episode of acute decompensation of heart failure.
Methods: All the patients were severely admitted to the cardiology department of the state hospital No24 named Katerine_II, attached to Russian National Medical University named N.I._Pirogov during the period of Febrary-June 2015.
Inclusion criteria: the patients were hospitalized for acute decom- pensation of congestive heart failure with compromised left ventri- cle function due to either low LVEF or mitral/aortic valve stenosis or regurgitation. On the other hand, the informed consent was obtained by each of them and the age of inclusion was more than 18 years old.
Exclusion Criteria: Acute de novo heart failure, patients with myo- carditis, infective endocarditis, active cancer process. Also, patients with conditions causing electrolyte imbalance such as - vomiting, diarrhea, salt-losing nephropathy, diabetic ketoacidosis, cirrhosis, nephrotic syndrome, chronic kidney disease.
Results: Prevalence of electrolyte imbalance occurred in 19 patients 37%; hyponatremia 9 (17%); dyskalemia 10 (19%) among which hypokalemia 6 (12%) hyperkalemia 4 (8%). Known as an indicator of severity.
• In this study hyponatremia was associated with four times increased the 1-year mortality of any cases [RR 3.89 CI 1.55-10.24, p<0.05]. The same pattern is seen in patients with hypo- and hyperkalemia with a 20% and 30% 1-year mortality increase [RR 1,34, CI 0.88-2.07, p >0.05; RR 1.21 CI 0.66-2.24 p >0.05] respectively, although obtained results may not be considered statistically signi cant, perhaps it was due to a small sample size.
Conclusion: Hyponatremia have long-term prognostic value in patients hospitalized for acute decompensation of heart failure. It is a predictor of mortality, dyskalemia had the same trend thus statisti- cally insigni cant, perhaps due to a small sample size.
Journal of Structural Heart Disease, June 2017
Volume 3, Issue 3:73-95