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Inoue balloon atrial septostomy in severe persistent pulmonary hypertension following surgical ASD closure.

ABSTRACT: Balloon atrial septostomy (BAS), which involves artificially creating a communication across the interatrial septum following trans-septal puncture and repetitive balloon dilatation, is known to be associated with therapeutic benefit in patients with severe pulmonary artery hypertension (PAH). Adult patients with large shunts and consequent severe PAH are not uncommon in the developing world, since they often seek medical attention late in the course of the disease. Often PAH in such cases is reversible with amelioration of symptoms after closure of the defect. We report a case of large atrial septal defect (ASD) with severe PAH who developed gross right heart failure following surgical closure of the ASD. A successful bail out BAS was performed using an Inoue balloon, avoiding the need for a redo surgery. The case highlights for the first time the use of Inoue balloon for performing a successful BAS.

SUBMITTER: Kapoor A

PROVIDER: S-EPMC6269257 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature

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Inoue balloon atrial septostomy in severe persistent pulmonary hypertension following surgical ASD closure.

Kapoor Aditya A Khanna Roopali R Batra Aditya A Kumar Sudeep S

Journal of cardiology cases 20120403 1

Balloon atrial septostomy (BAS), which involves artificially creating a communication across the interatrial septum following trans-septal puncture and repetitive balloon dilatation, is known to be associated with therapeutic benefit in patients with severe pulmonary artery hypertension (PAH). Adult patients with large shunts and consequent severe PAH are not uncommon in the developing world, since they often seek medical attention late in the course of the disease. Often PAH in such cases is re ...[more]

PMID: 30546714

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Thrombus in transit after balloon atrial septostomy.

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Use of Balloon Atrial Septostomy in Patients With Advanced Pulmonary Arterial Hypertension: A Systematic Review and Meta-Analysis.

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