Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report

We report the case of a 58‐year‐old female with severe postcapillary pulmonary hypertension (averaged mean pulmonary arterial pressure was 49 mmHg, pulmonary arterial wedge pressure 29 mmHg, and right atrial pressure 8 mmHg) due to heart failure with preserved ejection fraction. A left‐to‐right atri...

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Detalles Bibliográficos
Autores principales: Bauer, Fabrice, Besnier, Emmanuel, Aludaat, Chadi, Breil, Romain, Bettinger, Nicolas, Fauvel, Charles, Wurtz, Véronique, Raitiere, Olivier, Si Belkacem, Nassima, Bouhzam, Najime
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8787960/
https://www.ncbi.nlm.nih.gov/pubmed/34766440
http://dx.doi.org/10.1002/ehf2.13671
Descripción
Sumario:We report the case of a 58‐year‐old female with severe postcapillary pulmonary hypertension (averaged mean pulmonary arterial pressure was 49 mmHg, pulmonary arterial wedge pressure 29 mmHg, and right atrial pressure 8 mmHg) due to heart failure with preserved ejection fraction. A left‐to‐right atrial shunt was created using an 8 mm cutting balloon, under transesophageal echocardiography guidance. Both pulmonary arterial and wedge pressure dramatically decreased after the procedure. Symptoms immediately improved and benefits were sustained at 6 months of follow‐up. This case suggests that iatrogenic septal defect using a cutting balloon could be an option to treat symptomatic postcapillary pulmonary hypertension.

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