Editorial
The era of transcatheter closure of atrial septal defects
| The first 150 words of the full text of this article appear below. |
The
morphology of the various types of interatrial communications has been
known since the early description by Rokitansky,1 but the
clinical diagnosis was not described until 1941.2 Hospital mortality after surgical repair of atrial septal defects during the
early years was about 3%3 and for many years it has been less than 1%, with correspondingly low complication rates. The era of
transcatheter closure of secundum atrial septal defects is now well
established but confusion reigns regarding ideal occlusion devices and
indications for their use. The past and current success of surgery
cannot be ignored when evaluating current fashions, and although it is
true that routine closure is not of proved benefit to all patients
there is a general consensus among cardiologists and surgeons that when
an atrial septal defect gives rise to right ventricular dilatation it
should be closed. Such defects usually measure 10 mm or more in
diameter and occupy
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