Real-time evaluation of the hemodynamic effects of atrial septal defect closure in adults with left ventricular dysfunction
Real-time evaluation of the hemodynamic effects of atrial septal defect closure in adults with left ventricular dysfunction
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DOI：
10.1002/ccd.20242
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发表时间：
2005-01-01
影响因子：
2.3
通讯作者：
Chiariello, L
中科院分区：
文献类型：
--
作者：
Tomai, F;Andò, G;Chiariello, L
经导管封堵左向右分流房间隔缺损可引起左心室突然超负荷，可能导致左心室功能不全患者的急性心力衰竭。我们报告两个不同原因造成的左心室功能不全合并房间隔缺损的病例。在用Amplatzer系统的测量球囊短暂取消分流期间对左心室功能的血流动力学评价有助于制定最正确的治疗策略。(C)2004 Wiley-Liss，Inc.
Transcatheter closure of atrial septal defects with left-to-right shunt induces an abrupt overload of the left ventricle that may cause acute heart failure in patients with left ventricular dysfunction. We report two cases of ostium secundum atrial septal defects associated with left ventricular dysfunction of different etiology. The hemodynamic evaluation of left ventricular function during transient abolition of the shunt with the sizing balloon of the Amplatzer system helped to establish the most correct therapeutic strategy. (C) 2004 Wiley-Liss, Inc.