1. Clinical Outcome of Closure of a Small Atrial Septal Defect in a Patient with Pulmonary Arterial Hypertension.
- Author
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Umei M, Saito A, Soma K, Inaba T, Uehara M, Komuro I, and Yao A
- Subjects
- Cardiac Catheterization, Humans, Magnetic Resonance Imaging, Practice Guidelines as Topic, Risk Assessment, Treatment Outcome, Heart Septal Defects, Atrial diagnostic imaging, Heart Septal Defects, Atrial surgery, Pulmonary Arterial Hypertension complications
- Abstract
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.
- Published
- 2022
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