Published in:
Open Access
01-03-2014 | Case Report
Subsequent shunt closure after targeted medical therapy can be an effective strategy for secundum atrial septal defect with severe pulmonary arterial hypertension: two case reports
Strategy for ASD with Severe PAH
Authors:
Yu Taniguchi, Noriaki Emoto, Kazuya Miyagawa, Kazuhiko Nakayama, Hiroto Kinutani, Hidekazu Tanaka, Toshiro Shinke, Kenji Okada, Yutaka Okita, Ken-ich Hirata
Published in:
Heart and Vessels
|
Issue 2/2014
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Abstract
Secundum atrial septal defect (ASD) is the most common form of congenital heart disease in adults. Surgical and transcatheter closures of ASD are widely accepted therapeutic approaches. In patients with severe pulmonary arterial hypertension (PAH), however, the closure of the defect is still controversial. We report two cases of ASD patients with severe PAH successfully repaired subsequent to effective medical therapy. Subsequent shunt closure after targeted medical therapy can be an effective strategy in selected ASD patients with severe PAH.