Does operative closure of atrial septal defect improve survival and clinical outcomes in patients over 45 years of age?
Operative closure of atrial septal defects in patients over 45 years of age carries a low mortality risk and is associated with excellent long-term clinical outcomes and survival.
The results of closure of atrial septal defects in 155 patients over 45 years of age have been reviewed. 2. The over-all operative mortality rate was 6.5%; the operative mortality rate in the last 48 patients was 2.1%. 3. The late results of operation were considered excellent in 83% and good in 13% of the patients. 4. Long-term follow-up studies suggest that patients have significantly longer survival with closure of their defects. 5. It is concluded that operation for atrial septal defect in the older patient may be done at a low risk with an excellent prospect of a good, long-term result in almost all cases.
Daicoff et al. (Sat,) studied this question.
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