Atrial septal defect

G. R. Cumming, Marco R. di Tullo, Aasha S. Gopal, Shunichi Homma, Donald L. King, Robert E. Goldstein, Joseph G. Murphy, Bernard J. Gersh, Michael D. Mcgoon, Douglas D. Mair, co Burn J. Porter, Duane M. Ilstrup, Dwight C. Mcgoon, Francisco J. Puga, John W. Kirklin, Gordon K. Danielson, Kenneth M. Borow, Robert Karp

Research output: Contribution to journalLetterpeer-review


To the Editor: Murphy and colleagues (Dec. 13 issue)* have provided useful information about long-term survival in patients who have undergone repair of an atrial septal defect. The authors suggest that patients should be reassured about their insurability. To date, insurers have lacked satisfactory statistics and have gone along with the clinical impression that after surgery for atrial septal defect, patients without pulmonary hypertension or arrhythmias probably have near-standard mortality rates. Because of the small numbers of patients, insurers are likely to continue to be influenced by clinical impressions and not by the numbers derived from the series.

Original languageEnglish
Pages (from-to)1286-1287
Number of pages2
JournalNew England Journal of Medicine
Issue number18
StatePublished - 2 May 1991
Externally publishedYes


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