‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report

Atrial septal defect is the most common type of congenital heart disease. Interventional closure is currently the best treatment for the atrial septal defect. However, the repair strategy for atrial septal defect accompanies by severe pulmonary hypertension remains controversial. We report a case of...

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Detalles Bibliográficos
Autores principales: Fu, Liang, Wang, Ruoxin, Zhao, Jinlong, Ni, Yinkai, Chen, Zonghui, Li, Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831650/
https://www.ncbi.nlm.nih.gov/pubmed/36636648
http://dx.doi.org/10.1093/jscr/rjac612
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author Fu, Liang
Wang, Ruoxin
Zhao, Jinlong
Ni, Yinkai
Chen, Zonghui
Li, Feng
author_facet Fu, Liang
Wang, Ruoxin
Zhao, Jinlong
Ni, Yinkai
Chen, Zonghui
Li, Feng
author_sort Fu, Liang
collection PubMed
description Atrial septal defect is the most common type of congenital heart disease. Interventional closure is currently the best treatment for the atrial septal defect. However, the repair strategy for atrial septal defect accompanies by severe pulmonary hypertension remains controversial. We report a case of an atrial septal defect with severe pulmonary hypertension in which we applied a perforated occlude for atrial septal defect percutaneously at first. After 6 months, when the pulmonary pressure gradually went down, we completely blocked the reserved hole with a closure device percutaneously. We suggest that the stepwise procedure is an important treatment option for select patients with atrial septal defect accompanied by severe pulmonary hypertension.
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spelling pubmed-98316502023-01-11 ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report Fu, Liang Wang, Ruoxin Zhao, Jinlong Ni, Yinkai Chen, Zonghui Li, Feng J Surg Case Rep Case Report Atrial septal defect is the most common type of congenital heart disease. Interventional closure is currently the best treatment for the atrial septal defect. However, the repair strategy for atrial septal defect accompanies by severe pulmonary hypertension remains controversial. We report a case of an atrial septal defect with severe pulmonary hypertension in which we applied a perforated occlude for atrial septal defect percutaneously at first. After 6 months, when the pulmonary pressure gradually went down, we completely blocked the reserved hole with a closure device percutaneously. We suggest that the stepwise procedure is an important treatment option for select patients with atrial septal defect accompanied by severe pulmonary hypertension. Oxford University Press 2023-01-10 /pmc/articles/PMC9831650/ /pubmed/36636648 http://dx.doi.org/10.1093/jscr/rjac612 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Fu, Liang
Wang, Ruoxin
Zhao, Jinlong
Ni, Yinkai
Chen, Zonghui
Li, Feng
‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title_full ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title_fullStr ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title_full_unstemmed ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title_short ‘Two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
title_sort ‘two-step’ percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831650/
https://www.ncbi.nlm.nih.gov/pubmed/36636648
http://dx.doi.org/10.1093/jscr/rjac612
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