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The Annals of Thoracic Surgery, Vol 25, 44-50, Copyright © 1978 by The Society of Thoracic Surgeons
ER Kyger 3d, OH Frazier, DA Cooley, PC Gillette, GJ Reul Jr, FM Sandiford and DC Wukasch
The clinical course of 109 patients who underwent closure of a sinus
venosus atrial septal defect is reviewed, with emphasis on the incidence,
type, and severity of arrhythmias before and after operation. There were no
operative deaths and only 1 late death. No instances of obstruction of the
superior vena cava were detected clinically. One patient had a probable
hemorrhagic pulmonary infarction that cleared; another may have a
persistent left-to-right shunt. Excellent results were achieved in 72% of
the patients, good results in 5%, and poor results in 3%. The type of
arrhythmia, both before and after operation, varied with the age of the
patient: younger patients had bradyarrhythmias, and older patients had
tachyarrhythmias. Ten patients experienced persistent new arrhythmias
postoperatively, but none were disabled, required a pacemaker, or died. The
arrhythmias in all severely symptomatic patients were supraventricular
tachycardias that had occurred before operation. Although functional
classification after operation was clearly related to age at the time of
the procedure (with younger patients having the best functional results),
19 of 21 patients over age 40 were noticeably improved after surgical
closure of the sinus venosus atrial septal defect.
ARTICLES
Sinus venosus atrial septal defect: early and late results following closure in 109 patients
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