title: [Late results and rehabilitation of patients with secondary interatrial septal defects].
abstract: The remote results were studied in 194 patients operated on for secondary atrial septal defects at ages of 18 months to 41 years. The follow-up period ranged from 5 months to 11 years. The ECG was normal in 74.7% of patients, its improvement was noted in 8.7% of patients. Disorders of rhythm were encountered in 10.3% of patients, their incidence being 2 1/2 times higher among adults than among children. The systolic murmur disappeared in 29.8% and diminished in 50.8% of patients. The diastolic murmur was corrected in 92.2% of cases. Splitting of the second sound disappeared in 66% and diminished in 6% of patients. The size of the heart on a radiogram became normal in 32.2% and its enlargement became less in 41% of the patients examined. The heart grows smaller within 2--3 years and the pulmonary pattern becomes normal in 1--2 years. The process is more rapid in children. The postoperative result was good in 90% of patients.
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006337:Heart Murmurs; D006344:Heart Septal Defects, Atrial / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000534:rehabilitation / Q000601:surgery; D007223:Infant; D008297:Male
vernacular_title: Otdalennye rezul'taty i reabilitatsiia bol'nykh s vtorichnymi defektami mezhpredserdnoĭ peregorodki.