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Pulmonary hypertension in stiff left atrial syndrome: pathogenesis and treatment in one

机译:刚性左心房综合征肺动脉高压:发病机制和治疗之一

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摘要

We present the rare case of a patient with pulmonary hypertension in the context of the stiff left atrial syndrome after extensive catheter ablation, a unique constellation characterized by high pulmonary artery and pulmonary artery wedge pressures due to left atrial dysfunction but normal left ventricular end‐diastolic pressure, normal mitral valve, and absence pulmonary vein stenosis. This patient was surprisingly oligosymptomatic, however, which may have been due to a persistent post‐puncture atrial septal defect, which may have allowed for controlled left atrial decompression, which is in line with the novel concept of the catheter‐based creation of an intracardiac shunt as a treatment for heart failure.
机译:我们介绍了罕见的病例,即在广泛的导管消融后,在僵硬的左心房综合征背景下发生了肺动脉高压,这是一个独特的星座,其特征是由于左心房功能不全但左心室舒张末期正常,肺动脉和肺动脉楔压高压力,二尖瓣正常,无肺静脉狭窄。该患者出乎意料地表现为少症状,这可能是由于穿刺后持续存在的房间隔缺损,可能允许左心房减压得到控制,这与基于导管的心内腔造血的新概念相符。分流治疗心力衰竭。

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