Balloon Dilation Atrial Septostomy and Potts Anastomosis for Severe Pulmonary Arterial Hypertension: Why, When, and How
نویسنده
چکیده
Jorge Gaspar, MD Ignacio Chávez National Institute of Cardiology Mexico City, Mexico Despite advances in pharmacologic treatment, pulmonary arterial hypertension (PAH) remains a fatal disease. In recent years, surgical/interventional approaches including balloon dilation atrial septostomy and Potts anastomosis have been applied to improve the hemodynamic variables associated with right ventricular failure in the setting of PAH. These interventions may improve quality of life and prolong survival in this population. In this review, we will discuss the role of these 2 therapeutic alternatives in the management of PAH.
منابع مشابه
Catheter-based therapies for patients with medication-refractory pulmonary arterial hypertension.
P ulmonary arterial hypertension (PAH) is a disease of progressive distal pulmonary artery remodeling that leads to increased pulmonary vascular resistance, right ventricular failure , and premature death. The diagnosis of PAH is made by right heart catheterization when the mean pulmonary artery pressure is ≥25 mm Hg at rest with a pulmonary vascular resistance of >3 Wood units and a pulmonary ...
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تاریخ انتشار 2016