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Kelle AM et al. – The membranous ventriculo–atrial defect can be recognized echocardiographically on the basis of dilation of the right atrium in the setting of an unusually high Doppler echocardiogram gradient compared to the ventricular septal defect with shunting only at ventricular level. Since all patients in this series were symptomatic, the authors recommend surgical closure of all these defects.


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