Reduction in recalcitrant pulmonary hypertension after operation for atrial septal defect.
Ann Thorac Surg
; 72(3): 905-6; discussion 906-7, 2001 Sep.
Article
en En
| MEDLINE
| ID: mdl-11565678
We present the case of a patient with atrial septal defect and severe pulmonary hypertension with pulmonary artery peak pressure greater than 110 mm Hg. Open lung biopsy was done prior to the corrective operation, and pathological findings in the small pulmonary arteries included "musculoelastosis" and complete occlusion of 70% of these small arteries and arterioles. The atrial septal defect was closed, and long-term oral prostacyclin therapy was initiated. Pulmonary artery peak pressure decreased to 65 mm Hg 2 years after the operation. This case demonstrates that in a patient with 70% complete occlusion of small pulmonary arteries and arterioles resulting from "musculoelastosis," not only is surgical intervention possible but also pulmonary artery pressure decreases in the long term after operation.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Defectos del Tabique Interatrial
/
Hipertensión Pulmonar
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Ann Thorac Surg
Año:
2001
Tipo del documento:
Article
País de afiliación:
Japón
Pais de publicación:
Países Bajos