D-shant atrial shunt device implantable in patients with severe pulmonary hypertension and right heart failure:one case report and literature review
10.3969/j.issn.1004-8812.2024.08.010
- VernacularTitle:危重肺动脉高压右心衰竭患者D-shant心房分流器植入1例报道及文献复习
- Author:
Shu-Na XIAO
1
;
Wen-Jie GAO
;
Xiao-Ke SHANG
;
Chang-Dong ZHANG
;
Yu-Cheng ZHONG
;
Ying ZHI
;
Lin-Li QIU
;
Yan-Fei DONG
;
Yan HE
;
Wei TIAN
;
Wen-Wen TANG
Author Information
1. 华中科技大学同济医学院附属梨园医院心血管临床医学中心,湖北武汉 432300
- Keywords:
Pulmonary arterial hypertension;
Atrial shunt device;
Balloon atrial septostomy
- From:
Chinese Journal of Interventional Cardiology
2024;32(8):472-477
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the effectiveness and safety of implantable D-shant atrial shunt device in patients with severe pulmonary arterial hypertension(PAH)and right heart failure.A 53-year-old female patient diagnosed with severe idiopathic PAH and right heart failure,her WHO FC grade was Ⅳ.The right heart catheter and implantation of D-shant atrial shunt device were performed under local anesthesia on November 30,2021.A 6 mm×4 cm peripheral artery balloon was selected to dilate the atrial septum and a D-shant atrial shunt device with a fixed 4 mm diameter orifice was implanted into the heart.The clinical symptoms and hemodynamics of the patient was improved after the intervention.Implantation of atrial shunt device as a palliative therapy to established a right to left shunt is another strategy for treating patients with severe PAH in late period,which has good effectiveness and safety.It could be the last replacement therapy to improve symptoms and prolonged lives to drug resistant and severe PAH patients.
