Key result
Simultaneous transcatheter pulmonary balloon valvuloplasty and atrial septal defect closure successfully reduced the pulmonary pressure gradient from 99.19 mmHg to 33.79 mmHg with no residual flow.
Why the study?
The combination of PBV and transcatheter ASD closure is feasible, but rarely done.
Does simultaneous transcatheter pulmonary balloon valvuloplasty and ASD closure improve hemodynamics and symptoms in an adult with severe pulmonary stenosis and secundum ASD?
Case Report (n=1)
No
Does simultaneous transcatheter pulmonary balloon valvuloplasty and ASD closure improve hemodynamics and symptoms in an adult with severe pulmonary stenosis and secundum ASD?
Simultaneous transcatheter pulmonary balloon valvuloplasty and ASD closure is a feasible and effective alternative to surgical correction in adults with concomitant severe pulmonary stenosis and secundum ASD.
Combined percutaneous approach may be feasible in select patients; leaves open need for prospective data on safety and outcomes.
Background: Percutaneous pulmonary balloon valvuloplasty (PBV) has become the first choice of management in patients with valvular pulmonary stenosis, while transcatheter closure in secundum atrial septal defect (ASD) is an alternative therapy besides surgical closure. The combination of PBV and transcatheter ASD closure is an action that is possible to do, but rarely done.Case Illustration: We present a case of 26-year-old woman with severe pulmonary stenosis and secundum ASD. Echocardiographic examination revealed the presence of severe pulmonary stenosis (mean gradient 99.19 mmHg) and defects in the intra atrial septum (with a size of 1.3 cm). Cardiac catheterization revealed right ventricular pressure of 160 mmHg. This patient then successfully corrected with both procedures ASD closure and PBV simultaneously. Discussion: These procedures have high feasibility, good safety, and shows good effectiveness. There were no complications during the procedures, and a satisfying immediate outcome was obtained.Conclusion: Pulmonary stenosis and atrial septal defects are rare forms of congenital heart disease. Transcatheter pulmonary balloon valvuloplasty and atrial septal defect closure performed simultaneously are promising alternatives, apart from surgical correction.
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Wardhani et al. (2022) conducted a case report in Severe pulmonary stenosis and secundum atrial septal defect (n=1). Simultaneous transcatheter pulmonary balloon valvuloplasty and atrial septal defect closure was evaluated on Reduction in pulmonary pressure gradient and successful ASD closure. Simultaneous transcatheter pulmonary balloon valvuloplasty and atrial septal defect closure successfully reduced the pulmonary pressure gradient from 99.19 mmHg to 33.79 mmHg with no residual flow.
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