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European Heart Journal 2003 24(2):130-132; doi:10.1016/S0195-668X(02)00527-4
Copyright © 2003 by the European Society of Cardiology.
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Editorial

Closure of atrial septal defects: is the debate over?

L Swan and M.A Gatzoulis

Adult Congenital Heart Programme, Royal Brompton Hospital, London, UK

The first 10% of the full text of this article appears below.

See doi:10.1016/S1095-668X(02)00383-4for the article to which this editorial refers.

Debate regarding the optimal management of the patient with an atrial septal defect (ASD) has occupied many pages of the cardiology journals despite it being one of the most common and‘simple’ congenital lesions.1 Three questionscrystallize the debate: (1) Who should have their ASD closed? (2) When should it be closed? and (3) How should it be closed?

Before discussing these issues we should clarify what is meant by the term ASD. In the context of this discussion the majority are isolated secundum defects without significant fixed pulmonary hypertension. Sinus venosus defects can also be included with a . . . [Full Text of this Article]


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Related articles in EHJ:

Excellent survival and low incidence of arrhythmias, stroke and heart failure long-term after surgical ASD closure at young age: A prospective follow-up study of 21–33 years
J.W Roos-Hesselink, F.J Meijboom, S.E.C Spitaels, R van Domburg, E.H.M van Rijen, E.M.W.J Utens, A.J.J.C Bogers, and M.L Simoons
EHJ 2003 24: 190-197. [Abstract] [FREE Full Text]  



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