Why the study?
Eisenmenger syndrome rarely develops secondary to atrial septal defects, where early diagnosis is crucial before only conservative treatment can be offered.
Case Report (n=1)
No
This case highlights a rare early presentation of Eisenmenger syndrome and right-heart failure secondary to a secundum ASD that responded well to conservative medical management.
Supports medical management in rare early Eisenmenger from secundum ASD; leaves open efficacy in controlled trials.
Eisenmenger syndrome, the most advanced form of pulmonary arterial hypertension (PAH), poses a considerable risk to the survival and quality of life of patients. It is more commonly seen in large intra-cardiac defects like ventricular septal defects (VSD) or patent ductus arteriosus (PDA), and rarely in atrial septal defects (ASD). Early diagnosis is the single most important step in the definitive management of the condition; otherwise, only conservative treatment can be offered. In this report, we present the case of a 20-year-old female patient diagnosed with Eisenmenger syndrome secondary to a large secundum ASD. The patient responded well to medical treatment.
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Malik et al. (2020) conducted a case report in Secundum Atrial Septal Defect with Eisenmenger Syndrome (n=1). Medical therapy (sildenafil and bosentan) was evaluated on NYHA functional class and six-minute walk test distance.
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