For this algorithm, "Time 0" is the first postoperative outpatient visit subsequent to resolution of all perioperative problems such as pleural and pericardial effusions or postoperative wound infections. In general, this visit occurs within 3 months after surgery. The algorithm allows one postoperative echocardiogram to document complete atrial septal defect closure. In addition, a second postoperative echocardiogram to assess right ventricular size/function is a class II test.
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