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Routine chest radiograph of an asymptomatic 85-year-old woman whose medical history was unremarkable aside from eightuneventful pregnancies.
Secundum type, with left-to-right shunting (proven by transesophageal echocardiography). This is the most common congenitalheart disease in adults, affecting women twice as often as men. Without surgical intervention, most of these patients die by age 60. A few, however, do live intotheir 90s.
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