Abstract
Clinical and hemodynamic data obtained in seven infants with atrial septal defects who developed congestive heart failure and recurrent pneumonia during the first year of life were analyzed. Auscultatory findings were variable and were not specific for atrial septal defect. Vigorous medical management was sufficient to maintain these infants during the critical first year of life. Because of the good prognosis it is imperative to differentiate this defect from other cardiac lesions which cause large left-to-right shunts and which require early surgical intervention.
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