Secundum atrial septal defect accounts for 10% of congenital heart disease4 at birth and for 30-40% of cases seen in adults.5 Approximately 300-400 patients undergo surgical closure of atrial septal defect in the United Kingdom each year. Reports of the natural history of atrial septal defect and of the indications for and results of surgery imply that patients become increasingly symptomatic w...

INTRODUCTION May-Thurner syndrome is an anatomic abnormality that predisposes patients to increased risk of paradoxical embolism and stroke. It consists of chronic compression of the left common iliac vein by the overlying right common iliac artery which may predispose to local thrombus formation, which in turn may be the nidus of a paradoxical embolus leading to cerebral ischemia in patients w...

Atrial septal defect is one of the common types of congenital heart disease. Although recognized for centuries and receiving increasing attention since 1900, it was the detailed description by Bedford, Papp, and Parkinson in 1941, of the physical, electrocardiographic, radiological, and diagnostic features, the complications, and the clinical course, that brought the salient characteristics of ...

T HE less obvious diseases occurring in the aged are often overlooked in clinical practice and have been given little mention in medical literature. Atrial septal defect has a high incidence in youth and middle age. Among individuals over the age of 50 it is the most common major congenital defect.' The refinement of diagnostic criteria is made imperative by the fact that rapidly progressive ca...

A 20-year-old woman presented for evaluation of palpitations and one episode of near syncope after exertion. Her past medical history was remarkable only for a diagnosis of exercise-induced asthma. She was involved in competitive sports at her University, participating on the track team. She denied any chest discomfort, dyspnea at rest, or perceived exercise limitation. She had never had lower ...

Cross-sectional echocardiography, combined with injections of contrast into peripheral arm veins, has been used to study 15 patients with atrial septal defects and 10 patients with an intact interatrial septum. Of 11 patients with ostium secundum or sinus venosus atrial septal defects and left-to-right shunts a defect could be visualised in all, and in eight some degree of transfer of contrast ...

Atrial septal defect is associated with increased diameter and pulsation of the pulmonary arteries. The high pulmonary flow rate produces turbulence and a murmur. Intraluminal pressure is normal and vessel wall elastic properties may be altered as in poststenotic dilatation. Pulmonary artery angiograms in 6 normal patients, 9 with pulmonary stenosis and 10 with atrial septal defect were recorde...

OBJECTIVE The purpose of this study is to compare the effectiveness and safety of thoracoscopic surgery and traditional median sternotomy. PATIENTS AND METHODS 64 patients with atrial myxoma and 114 patients with atrial septal defect were collected from Mar 2012 to Aug 2015. 40 atrial myxoma and 77 atrial septal defect (ASD) patients underwent totally thoracoscopic surgery technique, while 24...

In this paper we intend to confine ourselves to the strictly surgical aspects of anomalies of the pulmonary veins in a series of 25 patients who were operated on in this clinic. Anomalies of the pulmonary veins are very often associated with communications between the systemic and the pulmonary circulation, such as atrial septal defect, patent ductus arteriosus, or ventricular septal defect. An...