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Previous Volume 341:540-541 August 12, 1999 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Gatzoulis et al. (March 18 issue)¹ report that adult patients are more likely to have persistent atrial fibrillation and atrial flutter or to have these arrhythmias after surgical closure of an atrial septal defect if they are older than 40 years at the time of surgery or have these arrhythmias preoperatively. The authors explain why they did not include data on right atrial volume in their analysis. However, these data could be the missing link. It is well known that longer periods of left-to-right shunting lead to excessive dilatation of the right atrial chamber, with a subsequent . . . [Full Text of this Article]

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