Why the study?
Does surgical closure of ASD affect atrial fibrillation and clinical symptoms in adult patients over 30 years of age?
Population
108 adult patients over 30 years of age who underwent atrial septal defect closure.
Design
Cohort
Follow-up
mean 52.0 months (range 6-126 months)
Authors
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Preoperative LA enlargement was associated with postoperative AF and worse NYHA class after ASD closure; leaves open optimal surgical timing in adults.
Does surgical closure of ASD affect atrial fibrillation and clinical symptoms in adult patients over 30 years of age?
Surgical intervention in adult ASD patients should be considered before the appearance of left atrial dilatation to prevent postoperative atrial fibrillation and poor clinical outcomes.
Ishikawa et al. (1992) studied this question.
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