ASEAN Heart Journal

Intended for healthcare professional

Original Paper

ASEAN Heart Journal

March 2014, 22:7

First online: 07 March 2014

Original Paper

Atrial septostomy in a patient with severe pulmonary hypertension and hypoxia: A therapeutic dilemma

Jonathan Yap,1 Khung Keong Yeo,1 Ju Le Tan,1 Soo Teik Lim1
Open Access
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  • Supplementary Material
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Introduction

Atrial septostomy may be considered in individuals with severe pulmonary arterial hypertension and right heart failure, despite maximal medical therapy, as a palliative procedure or bridge to transplant. Low oxygen saturation is a relative contraindication to atrial septostomy. However, the majority of the patients with severe refractory pulmonary arterial hypertension for whom atrial septostomy may be indicated have a certain degree of hypoxia. We describe a case of an adult patient with severe pulmonary hypertension and hypoxia, who presented with syncope from reduced left ventricular filling. She subsequently underwent successful atrial septostomy. We extensively discuss the role of atrial septostomy and the management conundrum in such patients.

Keywords
Pulmonary Hypertension - Right Ventricular - Pulmonary Arterial Hypertension - Iloprost - Primary Pulmonary Hypertension


Correspondence to Associate Professor Lim Soo Teik, Department of Cardiology, National Heart Centre Singapore, 17 Third Hospital Avenue, Singapore (168752).
Telephone: (+65) 6436 7800. Fax: (+65) 6227 3562. E-mail: [email protected]
Open Access: This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

Supplementary Material

Nil

 

References

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About this Article

Title
Atrial septostomy in a patient with severe pulmonary hypertension and hypoxia: A therapeutic dilemma


Open Access
Available under Open Access


Journal >> 22:1


Online Date
21 November 2019


DOI
10.7603/s40602-014-0006-0


Online ISSN
2315-4551


Publisher
ASEAN Federation of Cardiology


Additional Links Cardiology


Keywords
Pulmonary Hypertension
Right Ventricular
Pulmonary Arterial Hypertension
Iloprost
Primary Pulmonary Hypertension


Author Affiliations
1. Department of Cardiology, National Heart Centre Singapore, 17 Third Hospital Avenue, Singapore, Singapore


Correspondence to:
Soo Teik Lim,[email protected]