• Cardiology in the young · Jul 2019

    Case Reports

    Operable ventricular septal defect despite severe pulmonary hypertension and cyanosis!

    • Shyam S Kothari, Jay Relan, and Velayoudam Devagourou.
    • Departments of Cardiology, and Cardiothoracic surgery, All India Institute of Medical Sciences, New Delhi, India.
    • Cardiol Young. 2019 Jul 1; 29 (7): 986-988.

    AbstractPatients with a significant left-to-right shunt at ventricular level may become inoperable at an early age due to irreversible pulmonary vascular disease. On the other hand, even suprasystemic pulmonary hypertension due to mitral stenosis remains treatable. We report a 24-year-old patient with large ventricular septal defect, severe mitral stenosis and cyanosis who improved after surgical correction of both the lesions. This emphasises the importance of additional post-capillary pulmonary hypertension in Eisenmenger syndrome.

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