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Stroke in patients with secundum atrial septal defect and sequelae after transcatheter closure.

Stephen J DolgnerZachary Louis SteinbergThomas K JonesMark ReismanJonathan Buber
Published in: Heart (British Cardiac Society) (2021)
In this study population, the incidence of stroke prior to ASD closure among patients without atrial arrhythmias was 10%. Risk factors included obesity, smoking and prominent Eustachian valve anatomy. Lifestyle changes should be recommended for at-risk patients, and it may be reasonable to consider ASD closure in the absence of haemodynamic indications in patients at increased risk of stroke.
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