Key result
Percutaneous correction of combined atrial septal defect and pulmonic stenosis in adults presents a hemodynamic and technical dilemma regarding which lesion to treat first.
Highlights the hemodynamic and technical considerations for sequencing percutaneous interventions in adults with combined ASD and pulmonic stenosis.
Case report underscores individualized sequencing in combined ASD-pulmonic stenosis; leaves open optimal percutaneous strategy.
Combined atrial septal defect and pulmonic stenosis, while a common occurrence in children, is relatively uncommon in adults. There is no widely accepted order in which the defects should be corrected. We report a case that highlights the hemodynamics and the technical dilemma of deciding which lesion to correct first.
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Vera et al. (2008) studied this question. Percutaneous correction of combined atrial septal defect and pulmonic stenosis in adults presents a hemodynamic and technical dilemma regarding which lesion to treat first.
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