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Ann Thorac Surg 1996;62:1192
© 1996 The Society of Thoracic Surgeons

Invited Commentary

Invited Commentary

Paolo Angelini, MD

Department of Cardiology, Baylor College of Medicine, Leachman Cardiology Associates, PO Box 20206, Houston, TX 77225-0206

See also page 1190.

This article deals with a fairly frequent, even though commonly unrecognized condition (atrial septal aneurysm). The causal relationship with stroke is mostly conjectural and difficult to prove in individual cases. Before a general indication to surgical intervention is recommended, there should be a randomized study comparing several options (observation only, routine long-term antiplatelet or antithrombin medication, or operation). Obviously, to collect an adequate number of patients will require a multicenter study (probably based on consecutive patients studied by transesophageal echocardiography).


Related Article

Surgical Elimination of an Atrial Septal Aneurysm Causing Cerebral Embolism
Jon Aksnes, Harald L. Lindberg, and Halfdan Ihlen
Ann. Thorac. Surg. 1996 62: 1190-1192. [Abstract] [Full Text]




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