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All Journal Indonesian Journal of Cardiology Heart Science Journal
Sisca Natalia Siagian
Department Of Cardiology And Vascular Medicine, Faculty Of Medicine, Universitas Indonesia/ National Cardiovascular Center Harapan Kita
Health Professions Immunology & microbiology Medicine & Pharmacology

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Pulmonary Doppler Notch Pattern in Relation with Pulmonary Vascular Resistance Index in Patients with Atrial Septal Defect Nurnajmia Curie Proklamartina; Radityo Prakoso; Oktavia Lilyasari; Rina Ariani; Sisca Natalia Siagian; Amiliana Mardiani Soesanto
Jurnal Kardiologi Indonesia Vol 41 No 3 (2020): Indonesian Journal of Cardiology: July - September 2020
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1053

Abstract

Background: Atrial septal defect (ASD) potentially causes pulmonary hypertension (PH) and increased pulmonary vascular resistance (PVR). In previous studies, pulmonary Doppler notch was evident in patients with high PVR. There was a distinct notch pattern in different types of PH. This study aims to examine whether echocardiographic notch pattern could estimate PVR in secundum ASD patients. Methods: Cross sectional study was conducted in secundum ASD patients ≥18 years old who underwent clinically indicated right heart catheterization. Association of notch presence and PVR index (PVRi) and correlation of notch ratio (NR), a parameter of notch location, and PVRi were analyzed. The best cut off of NR value was obtained using the receiver operating characteristics curve. Results: Among 60 patients, the notch was present in 50 patients (83%) and significantly associated with PVRi ≥6 WU.m2 (p<0.0001). Notch ratio and PVRi had a moderate negative correlation (r=-0.410, p=0.003). Receiver operating characteristics curve with area under curve 0.709 showed that cutoff NR value of 1.635 was a good discriminator for PVRi ≥6 WU.m2, with 70% sensitivity, 70% specificity, 56.8% positive predictive value, and 14.9% negative predictive value. Patients were then classified into three groups of notch pattern based on its presence and location, which was significantly associated with PVRi (p<0.0001). Conclusions: Pulmonary Doppler notch pattern is associated with PVRi in secundum ASD patients. This may be used clinically to estimate PVR to aid patient selection for further invasive investigation. Keywords: atrial septal defect, Doppler echocardiography, notch, notch ratio, pulmonary vascular resistance
Pengaruh Tricuspid Annular Plane Systolic Excursion (TAPSE) Pasca Pembedahan Katup Mitral Terhadap Mortalitas Jangka Panjang Erriyanti, Sabrina; Soesanto, Amiliana M; Sakidjan, Indriwanto; Atmosudigdo, A.; Lilyasari, Oktavia; Ariani, Rina; Siagian, Sisca Natalia
Jurnal Kardiologi Indonesia Vol 43 No 1 (2022): Indonesian Journal of Cardiology: January - March 2022
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1196

Abstract

Background: Heart valve disease is still a significant health burden in the world, including Indonesia. The postoperative outcome of mitral valve surgery is influenced by many things, including decreased right ventricular (RV) function, which is the most common complication. Several studies have shown that decreased RV function after mitral valve surgery is associated with long-term outcomes. TAPSE is a routine and easy measurement of RV systolic function. A decrease in TAPSE after cardiac surgery is common because of the effects of pericardiotomy, and does not necessarily reflect a decrease in RV ejection fraction (RVEF). Regardless of whether postoperative TAPSE values ​​indicate right ventricular systolic function or only due to the effects of pericardiotomy, it is still not clear whether postoperative TAPSE values ​​have a prognostic value to long-term mortality after mitral valve surgery. Therefore, the objective of this study is to obtain information regarding the relationship of TAPSE echocardiographic parameters after mitral valve surgery with long-term mortality. Methods: This is a retrospective cohort study, looking at the effect of TAPSE on outcome after mitral valve surgery. The analysis starts from the starting point of the study when the patient was discharged alive from the hospital after mitral valve surgery (operation period January 2016 – February 2017) to the end point of the study, which was June 30th, 2021 and the observed outcome was mortality from any cause. Results: Of the 266 study subjects, 11 subjects died within 4-5 years after mitral valve surgery, the mortality is 4%. Bivariate analysis was performed on several factors and no relationship was found between the analyzed variables and mortality. Conclusion: There is no relationship between mortality and TAPSE after mitral valve surgery. This article has a related Erratum.
The Impact of Tricuspid Annular Plane Systolic Excursion (TAPSE) After Mitral Valve Surgery on Long Term Mortality Erriyanti, Sabrina; Soesanto, Amiliana M; Sakidjan, Indriwanto; Atmosudigdo, A.; Lilyasari, Oktavia; Ariani, Rina; Siagian, Sisca Natalia
Jurnal Kardiologi Indonesia Vol 46 No 4 (2025): October - December, 2025
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.2003

Abstract

In “The Impact of Tricuspid Annular Plane Systolic Excursion (TAPSE) After Mitral Valve Surgery on Long Term Mortality” (Indonesian Journal of Cardiology, 43(1), 1-8. https://doi.org/10.30701/ijc.1196), there is an error noted. An error has been found in the PDF version of this article. The DOI printed in the PDF is incorrect. The correct DOI is https://doi.org/10.30701/ijc.1196. The error occurs only in the PDF; the DOI listed in the article metadata is already correct. The publisher apologizes for any inconvenience caused by this error. DOI of original article: https://doi.org/10.30701/ijc.1196
Unrecognized major aortopulmonary collateral arteries in double outlet right ventricle-ventricular septal defect: A rare case report Siagian, Sisca Natalia; Panjaitan, Elsa Hedia; Wangsaputra, Vincent Kharisma
Heart Science Journal Vol. 7 No. 2 (2026): The Evolving Landscape of Heart Failure
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2026.007.02.17

Abstract

BACKGROUND: Major aortopulmonary collateral arteries (MAPCAs) are aberrant vessels that typically form to compensate for cyanotic congenital heart disease (CHD) with restricted pulmonary blood flow. This often obscures clinical suspicion of MAPCAs in CHDs associ-ated with pulmonary overcirculation, making it potentially unrecognized. CASE ILLUSTRATION: We report the case of a 5-month-old girl presenting with dyspnea, recurrent respiratory infections, and failure to thrive. Echocardiography revealed double outlet right ventricle (DORV) with ventricular septal defect (VSD) and patent ductus arteriosus (PDA). After initial treatment for heart failure and pneumonia, she underwent pul-monary artery (PA) banding and PDA ligation. Ongoing poor postoperative status prompted a second surgery, where intraventricular tunnel repair failed due to inability to wean from cardiopulmonary bypass. An atrial septectomy and PA band retightening achieved hemodynamic improvement, but the patient remained ventilator-dependent with recurrent pneumonia. Further evaluation with multislice CT and catheterisation uncovered previously undiagnosed MAPCAs supplying the right lung and a hypoplastic right pulmonary artery (RPA), precluding embolisation. Since the MAPCAs and hypoplastic RPA were initially unrecognized, the PA banding procedure inadvertently exacerbated the right lung. CONCLUSION: This case highlights the importance of considering MAPCAs in various CHD morphologies and emphasizes the value of pre-procedural imaging selection to optimize surgical planning and outcomes.
Co-Authors Amiliana M Soesanto Amiliana Mardiani Soesanto Ariani, Rina Atmosudigdo, A. Erriyanti, Sabrina Indriwanto Sakidjan Nurnajmia Curie Proklamartina Oktavia Lilyasari Oktavia Lilyasari Panjaitan, Elsa Hedia Radityo Prakoso Rina Ariani Wangsaputra, Vincent Kharisma