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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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
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author Bauer, Fabrice
Besnier, Emmanuel
Aludaat, Chadi
Breil, Romain
Bettinger, Nicolas
Fauvel, Charles
Wurtz, Véronique
Raitiere, Olivier
Si Belkacem, Nassima
Bouhzam, Najime
author_facet Bauer, Fabrice
Besnier, Emmanuel
Aludaat, Chadi
Breil, Romain
Bettinger, Nicolas
Fauvel, Charles
Wurtz, Véronique
Raitiere, Olivier
Si Belkacem, Nassima
Bouhzam, Najime
author_sort Bauer, Fabrice
collection PubMed
description 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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spelling pubmed-87879602022-01-31 Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report Bauer, Fabrice Besnier, Emmanuel Aludaat, Chadi Breil, Romain Bettinger, Nicolas Fauvel, Charles Wurtz, Véronique Raitiere, Olivier Si Belkacem, Nassima Bouhzam, Najime ESC Heart Fail 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 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. John Wiley and Sons Inc. 2021-11-11 /pmc/articles/PMC8787960/ /pubmed/34766440 http://dx.doi.org/10.1002/ehf2.13671 Text en © 2021 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Report
Bauer, Fabrice
Besnier, Emmanuel
Aludaat, Chadi
Breil, Romain
Bettinger, Nicolas
Fauvel, Charles
Wurtz, Véronique
Raitiere, Olivier
Si Belkacem, Nassima
Bouhzam, Najime
Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title_full Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title_fullStr Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title_full_unstemmed Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title_short Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
title_sort left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
topic Case Report
url 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
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