Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report
| Autor: | Nicolas Bettinger, Emmanuel Besnier, Nassima Si Belkacem, Chadi Aludaat, Véronique Wurtz, Najime Bouhzam, O Raitiere, Charles Fauvel, Romain Breil, Fabrice Bauer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Central venous pressure Case Report Heart failure medicine.disease Pulmonary hypertension Postcapillary pulmonary hypertension Internal medicine RC666-701 Left atrium medicine Cardiology Diseases of the circulatory (Cardiovascular) system Cutting balloon Cardiology and Cardiovascular Medicine Pulmonary wedge pressure Heart failure with preserved ejection fraction business Shunt (electrical) |
| Zdroj: | ESC Heart Failure ESC Heart Failure, Vol 9, Iss 1, Pp 782-785 (2022) |
| ISSN: | 2055-5822 |
| Popis: | We report the case of a 58‐year‐old female with severe postcapillary pulmonary hypertension (averaged mean pulmonary arterial pressure was 49 mmHg, pulmonary arterial wedge pressure 29 mmHg, and right atrial pressure 8 mmHg) due to heart failure with preserved ejection fraction. A left‐to‐right atrial shunt was created using an 8 mm cutting balloon, under transesophageal echocardiography guidance. Both pulmonary arterial and wedge pressure dramatically decreased after the procedure. Symptoms immediately improved and benefits were sustained at 6 months of follow‐up. This case suggests that iatrogenic septal defect using a cutting balloon could be an option to treat symptomatic postcapillary pulmonary hypertension. |
| Databáze: | OpenAIRE |
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