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  • Title: Third time lucky: challenging secundum atrial septal defect.
    Author: Ordoñez MV, Moharem-Elgamal S, Bedair R.
    Journal: Cardiol Young; 2019 Sep; 29(9):1202-1205. PubMed ID: 31379319.
    Abstract:
    Secundum atrial septal defect is the most common form of interatrial communication. Atrial septal defects can present in young adults with a variety of clinical presentations, including breathlessness on effort, palpitations, or stroke. Clinical heart failure and resting desaturation are both rarely seen in young patients. We present a case of a young man with a secundum atrial septal defect and a diagnosis of constrictive pericarditis, only made after two attempts at surgical correction of the atrial septal defect, with pericardiectomy at the third attempt and subsequent symptomatic improvement.
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