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European Heart Journal
Article . 2021 . Peer-reviewed
License: OUP Standard Publication Reuse
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Atrial septal defect in adulthood: a new paradigm for congenital heart disease

Authors: Massimo Chessa; Massimo Griselli; Helmut Baumgartner; Michael A. Gatzoulis; Wei Li; Tal Geva; Margarita Brida; +4 Authors

Atrial septal defect in adulthood: a new paradigm for congenital heart disease

Abstract

AbstractAtrial septal defects (ASDs) represent the most common congenital heart defect diagnosed in adulthood. Although considered a simple defect, challenges in optimal diagnostic and treatment options still exist due to great heterogeneity in terms of anatomy and time-related complications primarily arrhythmias, thromboembolism, right heart failure and, in a subset of patients, pulmonary arterial hypertension (PAH). Atrial septal defects call for tertiary expertise where all options may be considered, namely catheter vs. surgical closure, consideration of pre-closure ablation for patients with atrial tachycardia and suitability for closure or/and targeted therapy for patients with PAH. This review serves to update the clinician on the latest evidence, the nuances of optimal diagnostics, treatment options, and long-term follow-up care for patients with an ASD.

Country
Italy
Keywords

Adult, Cardiac Catheterization, Pulmonary Arterial Hypertension, Atrial septal defect surgery, Arrhythmias, Cardiac, Pulmonary arterial hypertension, Heart Septal Defects, Atrial, Advanced imaging, Treatment Outcome, Device closure, Atrial septal defect, Humans, Sinus venosus defect

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    86
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 1%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
86
Top 1%
Top 1%
Top 1%
hybrid