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Ann Thorac Surg 1975;20:136-143
© 1975 The Society of Thoracic Surgeons


Articles

Secundum Atrial Septal Defect and Mitral Valve Incompetence

Gordon F. Murray, M.D.*, Benson R. Wilcox, M.D.

From the Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill, N.C.

Accepted for publication March 13, 1975.

* Address reprint requests to Dr. Murray, Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Box 7, Division of Health Affairs, Chapel Hill, N.C. 27514.

Mitral regurgitation associated with secundum atrial septal defect is described in 4 patients, each with a different mitral lesion: rheumatic valvular disease, congenitally cleft valve, subacute bacterial endocarditis with disruption of the chordae tendineae, and traumatic valve rupture. The pathological spectrum of mitral valve disease associated with atrial septal defect is reviewed, and it is suggested that structural abnormality of the mitral valve may accompany the atrial septal defect. More general awareness of this association will allow the surgeon more accuracy in defining and repairing this rather unusual combination of lesions.




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Ann. Thorac. Surg.Home page
R. S. Davies, D. C. Green, and W. H. Brott
Secundum Atrial Septal Defect and Cleft Mitral Valve
Ann. Thorac. Surg., July 1, 1977; 24(1): 28 - 33.
[Abstract] [PDF]




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