Key result
Relief of severe PS followed by ASD closure benefits a patient with Eisenmenger syndrome.
Why the study?
Previous views held that surgical treatment opportunities are lost once Eisenmenger syndrome develops.
Does interventional surgery (PS relief followed by ASD closure) benefit a patient with Eisenmenger syndrome due to ASD and severe PS?
Case Report (n=1)
Does interventional surgery (PS relief followed by ASD closure) benefit a patient with Eisenmenger syndrome due to ASD and severe PS?
Interventional surgery to relieve severe pulmonary stenosis followed by ASD closure may be beneficial in select patients with Eisenmenger syndrome, challenging the traditional view that surgical treatment is contraindicated.
Answers are grounded in this paper and cite their sources.
May challenge traditional surgical contraindication in Eisenmenger syndrome; leaves open validation in prospective cohorts.
Atrial septal defect (ASD) is a common congenital heart disease. According to previous views, once Eisenmenger syndrome develops, the opportunity for surgical treatment is lost. This article reports a case of ASD combined with pulmonary valve stenosis (PS) in a patient who had experienced right-to-left shunting through the ASD for 40 years. What distinguishes this patient from other Eisenmenger syndrome patients is the presence of severe PS. We attempted to first relieve the severe PS and then perform ASD closure. Ultimately, the patient benefited from surgical treatment.
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Long et al. (2026) conducted a case report in Eisenmenger syndrome, Atrial septal defect combined with pulmonary valve stenosis (n=1). Interventional surgery (relief of severe PS followed by ASD closure) was evaluated on Clinical benefit. Interventional surgery involving relief of severe pulmonary valve stenosis followed by atrial septal defect closure provided clinical benefit in a patient with Eisenmenger syndrome.
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