RT Journal
A1 Blount S, Jr., Davies D, Swan H
T1 ATrial septal defect-results of surgical correction in one hundred patients
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1959
FD January 17
VO 169
IS 3
SP 210
OP 213
DO 10.1001/jama.1959.03000200008002
UL http://dx.doi.org/10.1001/jama.1959.03000200008002
AB One hundred consecutive patients, ranging in age from 10 months to 45 years, with a diagnosis of atrial septal defect secundum, were operated on. Of the 100 patients, 38 were asymptomatic, 29 mildly incapacitated, 23 moderately incapacitated, and 10 severely so. Only eight gave a history indicative of congestive cardiac failure. The most prominent complaints were shortness of breath, fatigue, and palpitations (pounding in the chest). Operation was performed under conditions of hypothermia and inflow-outflow occlusion. After the second year of life, the earlier the operation is performed the better. Surgery in a relatively asymptomatic child between the ages of 2 and 10 years carries a minimum of risk and in all probability will insure a normal cardiovascular system when maturity is reached. A high pulmonary vascular resistance increases the risk and decreases the gain that can be anticipated from operation.