Large Atrial Septal Defect Closure in a Patient with Severe Pulmonary Arterial Hypertension.

Korean J Thorac Cardiovasc Surg

Department of Surgery and Department of Cardiology and Vascular Medicine, Dr. Sardjito General Hospital, Universitas Gadjah Mada.

Published: October 2017

Patients with an atrial septal defect (ASD) and severe pulmonary arterial hypertension (PAH) are considered ineligible for defect closure surgery because of the risk of right ventricular decompensation and death after the operation. We report the case of a patient with large ASD and severe PAH who was able to undergo defect closure surgery successfully following long-term use of combined oral sildenafil and beraprost.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628966PMC
http://dx.doi.org/10.5090/kjtcs.2017.50.5.378DOI Listing

Publication Analysis

Top Keywords

defect closure
12
atrial septal
8
septal defect
8
severe pulmonary
8
pulmonary arterial
8
arterial hypertension
8
asd severe
8
closure surgery
8
large atrial
4
defect
4

Similar Publications

Single-Stage Midline Unifocalization Is Associated With Excellent Outcomes in Infants of All Ages.

World J Pediatr Congenit Heart Surg

January 2025

Department of Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA.

Objective: Tetralogy of Fallot, pulmonary atresia, and major aortopulmonary collateral arteries are a complex congenital heart defect. For years, our program has recommended early single-stage midline unifocalization at three to six months of age. However, many patients are referred beyond six months.

View Article and Find Full Text PDF

Secondary Healing Over NovoSorb BTM in the Management of Complex Nasal Defects.

Plast Reconstr Surg Glob Open

January 2025

From the Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland.

Background: The use of PolyNovo NovoSorb biodegradable temporizing matrix (BTM) has become popular for the management of complex wounds, often with the subsequent application of a split-thickness skin graft. To date, there are no published case series describing healing via secondary intention over BTM in the management of small, complex nasal wounds following excision of skin malignancy in the elective setting.

Methods: This study consisted of a single-center, consecutive case series.

View Article and Find Full Text PDF

Background: Mohs micrographic surgery offers high cure rates of cutaneous malignancies, but surgeons are often faced with large and complicated defects after tumour removal.

Objectives: To assess the safety and complication rates of large flaps and grafts (measuring ≥30 cm) and larger complex linear closures (CLC, ≥12.5 cm, as defined by the American Medical Association Current Procedural Terminology code set), when performed under local anaesthesia.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!