When the simple communication interatrial is not so simple
DOI:
https://doi.org/10.37615/retic.n1a10Keywords:
Atrial septal defect, Pulmonary hypertension, Eisenmenger, Thrombosis.Abstract
Pulmonary hypertension (PAH) aff ects 5 to 10% of patients with congenital heart disease. The long-term survival is variable, observing heterogeneous behavior related to defect location, size, pulmonary vascular resistance, or progression of PAH after surgical correction. We submit the case about a young woman, carrying an atrial septal of intermediate size, with shortcut inversion, severe arterial desaturation, aneurysmal pulmonary artery, and extensive thrombosis of its branches, a condition that has induced pulmonary vascular hyperresistance and the Eisenmenger physiology.
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The taskforce for the diagnosis and treatment of pulmonary hypertension of the European Society of Cardiology (ESC) and European Respiratory Society (ERS). 2015 Guidelines for the diagnosis and treatment of pulmonary hypertension. European Heart Journal 2016; 37: 67-119.
Manes A, Palazzini M, Leci E, Reggiani B, Branzi A, Galie N. Current era suvirval of patients with pulmonary arterial hypertension associated with congenital heart disease: A comparison clinical subgroup. European Heart Journal 2014; 35: 716-724. DOI: https://doi.org/10.1093/eurheartj/eht072
Opotowsky A. Clinical evaluation and management of pulmonary hypertension in the adult with Congenital heart desease. Circulation 2015; 131: 200-210. DOI: https://doi.org/10.1161/CIRCULATIONAHA.114.006976
Moceri P, Kepny A, Liodakis E, Gonzalez Alonso R, Germanakis I, Diler G, Swan L, Marino P, Wort S, Narayan-Babu, Ferrari E, Gatzoulis M, Li Wei, Dimopoulus K. Physiological diff erences between various types of Eisenmenger syndrome and relation outcome. International Journal of Cardiology 2015; 12 (9): 455-460. DOI: https://doi.org/10.1016/j.ijcard.2014.11.100
Broberg C, Ujita M, Narayan-Babu S, Rubens M, Prasad S K, Gibbs J S R, Gatzoulis M A. Massive pulmonary artery thrombosis with haemoptysis in adults with Eisenmenger´s síndrome: A clinical dilema. Heart 2004; 90 e 63. Case report. DOI: https://doi.org/10.1136/hrt.2004.039198
Force SD, Kogon B, Pelaez A, Neujahr DC, Ramirez AM, Miller DL ,Lawrence EC. Bilateral lung transplant thromboendarterectomy for Eisenmenger´s síndrome. Ann Thocacic Surgery 2008; 85 (3): 1.097-1.099. Case report. DOI: https://doi.org/10.1016/j.athoracsur.2007.09.007
Ching-Wei Lee, Shao-Sung Huang, Po-Hsun Huang. Pulmonary arterial thrombosis in a patient with an atrial septal defect and Eisenmenger síndrome. Korean Circulation Journal 2012; 42: 772-775. Case report. DOI: https://doi.org/10.4070/kcj.2012.42.11.772
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Copyright (c) 2022 María Elena Sánchez, Marcelo Simón Cohen, Victor Daniel Darú, Jorge Lowenstein
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