Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension

The closure of small/coincidental atrial septal defects (ASDs) in patients with pulmonary arterial hypertension (PAH) has been described in recent major guidelines as useless or even contraindicated. We confirm the effectiveness of “Treat and Repair” for ASD closure through one patient diagnosed wit...

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Autores principales: Umei, Masahiko, Saito, Akihito, Soma, Katsura, Inaba, Toshiro, Uehara, Masae, Komuro, Issei, Yao, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987247/
https://www.ncbi.nlm.nih.gov/pubmed/34471028
http://dx.doi.org/10.2169/internalmedicine.7888-21
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author Umei, Masahiko
Saito, Akihito
Soma, Katsura
Inaba, Toshiro
Uehara, Masae
Komuro, Issei
Yao, Atsushi
author_facet Umei, Masahiko
Saito, Akihito
Soma, Katsura
Inaba, Toshiro
Uehara, Masae
Komuro, Issei
Yao, Atsushi
author_sort Umei, Masahiko
collection PubMed
description The closure of small/coincidental atrial septal defects (ASDs) in patients with pulmonary arterial hypertension (PAH) has been described in recent major guidelines as useless or even contraindicated. We confirm the effectiveness of “Treat and Repair” for ASD closure through one patient diagnosed with idiopathic PAH with small ASD, under careful observation with right heart catheterization and cardiac magnetic resonance imaging. The clinical decision concerning the closure of ASD with PAH should be made not only by referring to the guidelines but also by evaluating the benefits and risks specific to that case.
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spelling pubmed-89872472022-04-26 Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension Umei, Masahiko Saito, Akihito Soma, Katsura Inaba, Toshiro Uehara, Masae Komuro, Issei Yao, Atsushi Intern Med Case Report The closure of small/coincidental atrial septal defects (ASDs) in patients with pulmonary arterial hypertension (PAH) has been described in recent major guidelines as useless or even contraindicated. We confirm the effectiveness of “Treat and Repair” for ASD closure through one patient diagnosed with idiopathic PAH with small ASD, under careful observation with right heart catheterization and cardiac magnetic resonance imaging. The clinical decision concerning the closure of ASD with PAH should be made not only by referring to the guidelines but also by evaluating the benefits and risks specific to that case. The Japanese Society of Internal Medicine 2021-08-31 2022-03-15 /pmc/articles/PMC8987247/ /pubmed/34471028 http://dx.doi.org/10.2169/internalmedicine.7888-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Umei, Masahiko
Saito, Akihito
Soma, Katsura
Inaba, Toshiro
Uehara, Masae
Komuro, Issei
Yao, Atsushi
Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title_full Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title_fullStr Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title_full_unstemmed Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title_short Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension
title_sort clinical outcome of closure of a small atrial septal defect in a patient with pulmonary arterial hypertension
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987247/
https://www.ncbi.nlm.nih.gov/pubmed/34471028
http://dx.doi.org/10.2169/internalmedicine.7888-21
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