[Ostium secundum type of XXXX associated with @entity2419 ].

@entity1 @entity4007 @entity339 @entity2438 @entity1757 @entity600 @entity118 @entity2419
Eight @entity1 (7 females and one male) ranging in age from 6 to 30 years (mean 11.2 years), with secundum-type @entity118 (o.s. @entity2438 ) and @entity2419 (CVM) were surgically corrected at the Cardiac Surgery Department of Massa Hospital (Massa-Italy) from 1974 to 1981. All @entity1 were studied with non invasive diagnostic techniques and with cardiac catheterization and angiography. All had @entity339 of variable degree. On the ECG, there were P and QRS wave abnormalities but no superior quadrant QRS axis deviation suggestive of @entity4007 . At operation the cleft(s) was found in variable positions: on the anterior leaflet in 4 cases and on the posterior leaflet in four. In two cases there was a double cleft. Correction was accomplished in 5 cases with direct repair of CVM, associated with various types of anuloplasty and in 2 cases anuloplasty only was done, without suturing the cleft. The @entity1757 was closed by direct suture in one case and with a Dacron patch in the remaining seven. There was one early death in the first 24 hour post-operatively. The seven surviving @entity1 have been followed for a period of time ranging between 2 and 93 months (mean 29 months). No survivor has been re-evaluated by cardiac catheterization and cineangiography. No @entity1 shows clinical or non-invasive evidence of residual @entity339 behind grade I (slight). We conclude that: 1) the CVM associated with o.s. @entity2438 cannot be securely diagnosed preoperatively with the common diagnostic techniques, even when producing severe @entity339 , except perhaps by B-mode echocardiography; 2) the CVM (part of the spectrum of endocardial @entity600 ) in no cases was associated with the typical ECG or angiocardiographic abnormalities; 3) the CVM associated with o.s. @entity2438 should always be repaired because, compared to the CVM that occurs with @entity4007 , its site and regurgitation characteristics are variable, and simple @entity2438 closure may not be sufficient.
