Late Presentation Of Pulmonary Hypertension Crisis Concurrent With Atrial Arrhythmia After Atrial Septal Defect Device Closure DOI Open Access

Zulkifli Bachmid,

Andi Alief Utama Armyn,

Yulius Patimang

и другие.

International Journal of Innovative Science and Research Technology (IJISRT), Год журнала: 2024, Номер unknown, С. 185 - 196

Опубликована: Апрель 16, 2024

Background: ASD occurs when there is a septal defect between the right and left atria, resulting in left-to-right shunt that increases volume of heart pulmonary circulation. Increased resistance can lead to hypertension (PH), progressive deterioration ventricular function, leading failure death. Prolonged elevation atrial pressure induces dilatation electrophysiological remodelling. Together with autonomic modulation, this leads arrhythmias (AAs). Patients significant shunts overload are considered for closure. However, some cases, PH after  Case Presentation: We report 21 yo man diagnosed Secundum Post Closure Device (September 1th, 2023) Pulmonary Hypertension Crisis. The atria (LA), (RA) ventricle (RV) were dilated. also found moderate mitral regurgitation, severe tricuspid mild regurgitation. There was decline systolic function ventricle, grade III diastolic dysfunction ventricle. well-seated device no residual on interatrial septal. arteries confluence From ECG we flutter variable conduction. This patient transferred HCU. treated digoxin, furosemide, milrinon, ceftriaxone, miniaspi, sildenafil, electrophysiology, 3D ablation. Conclusion: occur cases congenital defects, such as ASD. operative management closure ASD, but unique groups, hypertensive crisis its

Язык: Английский

Late Presentation Of Pulmonary Hypertension Crisis Concurrent With Atrial Arrhythmia After Atrial Septal Defect Device Closure DOI Open Access

Zulkifli Bachmid,

Andi Alief Utama Armyn,

Yulius Patimang

и другие.

International Journal of Innovative Science and Research Technology (IJISRT), Год журнала: 2024, Номер unknown, С. 185 - 196

Опубликована: Апрель 16, 2024

Background: ASD occurs when there is a septal defect between the right and left atria, resulting in left-to-right shunt that increases volume of heart pulmonary circulation. Increased resistance can lead to hypertension (PH), progressive deterioration ventricular function, leading failure death. Prolonged elevation atrial pressure induces dilatation electrophysiological remodelling. Together with autonomic modulation, this leads arrhythmias (AAs). Patients significant shunts overload are considered for closure. However, some cases, PH after  Case Presentation: We report 21 yo man diagnosed Secundum Post Closure Device (September 1th, 2023) Pulmonary Hypertension Crisis. The atria (LA), (RA) ventricle (RV) were dilated. also found moderate mitral regurgitation, severe tricuspid mild regurgitation. There was decline systolic function ventricle, grade III diastolic dysfunction ventricle. well-seated device no residual on interatrial septal. arteries confluence From ECG we flutter variable conduction. This patient transferred HCU. treated digoxin, furosemide, milrinon, ceftriaxone, miniaspi, sildenafil, electrophysiology, 3D ablation. Conclusion: occur cases congenital defects, such as ASD. operative management closure ASD, but unique groups, hypertensive crisis its

Язык: Английский

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