Clinical Detection of Hemodynamically Significant Isolated Secundum Atrial Septal Defect.

Geggel, Robert L · J Pediatr · 2017

case_series · Level IV

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Abstract

The diagnosis of secundum atrial septal defect often is delayed. For 310 patients with hemodynamically significant secundum atrial septal defect undergoing closure over a 5-year period at a single medical center, this study reviews the symptoms prompting referral, limitations of physical examination and electrocardiography, and basis for initially missing the diagnosis.

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