[Surgical treatment of residual defects following closure of secundum atrial septal defect].
Among 1485 patients with secundum atrial septal defect repaired from May, 1958 through May, 1986, 6 and 1 additional patient were readmitted to our hospital with symptomatic recurrence. In all but 1, their systolic murmur persisted. Cardiothoracic ratio and pulmonary plethora remained unaltered. A residual defect in all of the 7 patients was confirmed by right heart catheterization. They were reoperated upon under cardiopulmonary bypass. There was no early mortality, nor late death. The major postoperative complications include: hemothorax in 2 cases; temporary atrial fibrillation in 1. This article analysis the common causes of residual defect and discussed methods of diagnosis, treatment and prognosis.
Zhou
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D000293:Adolescent; D000328:Adult; D002315:Cardiopulmonary Bypass; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006491:Hemothorax / Q000209:etiology; D006801:Humans; D008297:Male; D012086:Reoperation