Device Closure of a Large Atrial Septal Defect in a Patient with Severe Pulmonary Arterial Hypertension after 1 Year Use of an Oral Endothelin Receptor Antagonist.
10.4250/jcu.2013.21.3.140
- Author:
In Hyun JUNG
1
;
Sang Yun LEE
;
Sook Jin LEE
;
Joo Young LEE
;
Nam Jin PARK
;
Dea Sung AHN
;
Jae Hoon JUNG
;
Dong Hee SHIN
;
Dal Soo LIM
Author Information
1. Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. drjih@naver.com
- Publication Type:Case Report
- Keywords:
Atrial septal defect;
Pulmonary hypertension;
Septal occlude device
- MeSH:
Female;
Heart Septal Defects, Atrial*;
Humans;
Hypertension, Pulmonary*;
Receptors, Endothelin*;
Sulfonamides
- From:Journal of Cardiovascular Ultrasound
2013;21(3):140-144
- CountryRepublic of Korea
- Language:English
-
Abstract:
The presence of severe pulmonary arterial hypertension (PAH) in patients with atrial septal defect (ASD) is still thought to preclude shunt closure, although there are several reports of good clinical outcomes after vasodilator therapy. We report the case of a young woman with ASD and severe PAH who was able to successfully undergo percutaneous shunt closure following 1 year use of the oral endothelin receptor antagonist, bosentan.
