Seven Years' Outcome of Simultaneous Surgical Treatment of Atrial Septal Defect and Atrial Flutter in 2 Children: Case Reports

We describe 2 children who had long-standing type 1 atrial flutter and atrial septal defect. The simultaneous surgical treatment of these 2 conditions consisted of transmural incision from the inferior edge of the septal defect to the tricuspid ring, transmural incision from the medial-superior edge of the septal defect to the tricuspid ring, and closure of the septal defect with a bovine pericardial patch. There was no arrhythmia recurrence during a 7-year follow-up period.