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- Tsutomu Murakami, Gaku Nakazawa, Hitomi Horinouchi, Sho Torii, Takeshi Ijichi, Yohei Ohno, Mari Amino, Norihiko Shinozaki, Nobuhiko Ogata, Fuminobu Yoshimachi, Koichiro Yoshioka, and Yuji Ikari.
- Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
- Heart Vessels. 2017 Jan 1; 32 (1): 101-104.
AbstractA 56-year-old woman was diagnosed as atrial septal defect (ASD) with pulmonary hypertension; pulmonary blood flow/systemic blood flow (Qp/Qs) of 2.3, pulmonary artery pressure (PAP) of 71/23(39) mmHg and diastolic dysfunction of left ventricle. PAP was improved after medical therapy; therefore, transcatheter ASD closure was performed. Seven days later, left-sided heart failure occurred, however, the improvement of Qp/Qs (1.7) and PAP of 51/21(32) was confirmed. Diuretic therapy was introduced which led to further decrease of PAP 40/12(25) and Qp/Qs (1.1). Because of gradual decrease of Qp/Qs, this patient appeared to be protected from acute pulmonary edema.
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