title: Spontaneous closure of a large secundum atrial septal defect.
abstract: Large and untreated secundum atrial septal defects are closed in childhood in order to prevent significant rates of morbidity and mortality. Small defects often close spontaneously. We present a girl with a large atrial septal defect that underwent spontaneous closure at just over three years of age. The defect was haemodynamically significant and larger than conventional expectations for spontaneous closure.
authors.affiliation: Paediatric Department, St. Luke's Hospital, Guardamangia, Malta.
authors.forename: N
authors.initials: N
authors.lastname: Galea
authors.forename: V
authors.initials: V
authors.lastname: Grech