<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2078-7170</journal-id>
<journal-title><![CDATA[CorSalud]]></journal-title>
<abbrev-journal-title><![CDATA[CorSalud]]></abbrev-journal-title>
<issn>2078-7170</issn>
<publisher>
<publisher-name><![CDATA[Cardiocentro Ernesto Che Guevara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2078-71702019000100046</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cierre quirúrgico de comunicación interauricular en pacientes mayores de 40 años de edad: Efecto sobre la función cardíaca y resultados clínicos generales]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical closure of atrial septal defect in patients aged 40 years and older: Effect on cardiac function and general clinical outcomes]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ates]]></surname>
<given-names><![CDATA[Azman]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Erkut]]></surname>
<given-names><![CDATA[Bilgehan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Medical Faculty of Atatürk University Servicio de Cirugía Cardiovascular ]]></institution>
<addr-line><![CDATA[Erzurum ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>46</fpage>
<lpage>53</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702019000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702019000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702019000100046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La comunicación interauricular (CIA) es una de las cardiopatías congénitas más frecuentes en los pacientes adultos.  Objetivos: Se evaluaron los resultados iniciales y a medio plazo del tratamiento quirúrgico de la CIA tipo ostium secundum en pacientes mayores de 40 años de edad en relación con la función cardíaca y los resultados clínicos.  Método: Se estudiaron 32 pacientes, mayores de 40 años de edad, a quienes se les realizó corrección quirúrgica de una CIA tipo ostium secundum. Se compararon los parámetros ecocardiográficos, de función cardíaca y el estado clínico de todos los pacientes antes y después de la operación para evaluar la eficacia del tratamiento quirúrgico.  Resultados: Los pacientes fueron seguidos durante un promedio de 2,2 años (rango 3 meses - 3,1 años). No hubo mortalidad en el postoperatorio. En el seguimiento temprano, no hubo ningún evento tromboembólico cerebrovascular y mejoraron las capacidades funcionales de los pacientes. No ocurrieron nuevas fibrilaciones auriculares. Los diámetros de la aurícula y el ventrículo derechos, y las presiones de la arteria pulmonar se redujeron significativamente, mientras que no se encontró variación en la fracción de eyección. La necesidad de tratamiento diurético se redujo después del tratamiento quirúrgico. No se detectó ningún cortocircuito intracardíaco residual durante el seguimiento.  Conclusiones:  El cierre quirúrgico de la CIA en pacientes adultos mayores de 40 años puede mejorar la función cardíaca medida por ecocardiografía y reducir los síntomas clínicos. Si no se utiliza ningún tratamiento en estos pacientes, los síntomas son escasos y rara vez se encuentran alteraciones en los parámetros hemodinámicos con peligro para la vida. Sin embargo, la reparación quirúrgica debe realizarse lo antes posible, especialmente cuando se detecta en pacientes adultos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Atrial septal defect (ASD) is one of the most common congenital heart diseases in adult patients.  Objectives:  We evaluated the early and mid-term results of surgical treatment of secundum atrial septal defects in patients with &#8805; 40 years in terms of cardiac functions and clinical outcomes.  Method:  Thirty-two patients who had undergone surgical correction for secundum atrial septal defect at the age of 40 years an older were examined. Echocardiographic parameters, cardiac functions and clinical status of all patients were compared before and after the operation to evaluate the efficacy of surgical treatment.  Results:  The patients were followed for an average of 2,2 years (range 3 months - 3,1 years). There was no mortality in the postoperative period. In the early follow-up, there was no cerebrovascular thromboembolic event, functional capacities of the patients improved. No new atrial fibrillation occurred. Right atrial and ventricle diameters, and pulmonary artery pressures were significantly reduced, while ejection fractions did not change. The need for diuretic therapy was reduced after surgical treatment. No residual intracardiac shunt was detected during follow-up.  Conclusions:  Surgical closure of atrial septal defects in adult patients over the age of 40 can improve cardiac function by echocardiography and reduce clinical complaints. Even if no intervention is made in such patients, the current complaints are scarce and life-threatening problems are rarely seen in hemodynamic parameters. However, surgical repair should be performed as soon as possible, especially when detected in adult patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Comunicación interauricular]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="es"><![CDATA[Adulto]]></kwd>
<kwd lng="es"><![CDATA[Evaluación de resultado (Atención de Salud)]]></kwd>
<kwd lng="en"><![CDATA[Atrial septal defect]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Adult]]></kwd>
<kwd lng="en"><![CDATA[Outcome assessment (Health Care)]]></kwd>
</kwd-group>
</article-meta>
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