Why the study?
Does repair of secundum atrial septal defects improve long-term outcomes in patients older than 40 years?
Population
75 patients older than age 40 years with secundum atrial septal defects
Design
Cohort
Follow-up
five to 21 years
Authors
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Supports repair consideration in select adults over 40; leaves open causal AF effects and need for randomized trials.
Does repair of secundum atrial septal defects improve long-term outcomes in patients older than 40 years?
Repair of secundum atrial septal defects in adults over 40 yields good long-term results, particularly in those with lower functional class and normal sinus rhythm, but does not reverse or prevent atrial fibrillation.
Donald J. Magilligan (1978) studied this question.
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