Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report
Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart...
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Gespeichert in:
| Autor*in: |
Prieta Adriane [verfasserIn] Rudyanto Sedono [verfasserIn] Ni Luh Kusuma Dewi [verfasserIn] |
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E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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In: Bali Journal of Anesthesiology ; 6(2022), 4, Seite 251-253 volume:6 ; year:2022 ; number:4 ; pages:251-253 |
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10.4103/bjoa.bjoa_97_22 |
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| 520 | |a Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). | ||
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10.4103/bjoa.bjoa_97_22 doi (DE-627)DOAJ018931472 (DE-599)DOAJbd65a33246d047ddb55bccbf2ed3b943 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Prieta Adriane verfasserin aut Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). atrial septal defect icu management ph crisis pulmonary hypertension Anesthesiology Rudyanto Sedono verfasserin aut Ni Luh Kusuma Dewi verfasserin aut In Bali Journal of Anesthesiology 6(2022), 4, Seite 251-253 volume:6 year:2022 number:4 pages:251-253 https://doi.org/10.4103/bjoa.bjoa_97_22 kostenfrei https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 kostenfrei http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane kostenfrei https://doaj.org/toc/2549-2276 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 6 2022 4 251-253 |
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10.4103/bjoa.bjoa_97_22 doi (DE-627)DOAJ018931472 (DE-599)DOAJbd65a33246d047ddb55bccbf2ed3b943 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Prieta Adriane verfasserin aut Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). atrial septal defect icu management ph crisis pulmonary hypertension Anesthesiology Rudyanto Sedono verfasserin aut Ni Luh Kusuma Dewi verfasserin aut In Bali Journal of Anesthesiology 6(2022), 4, Seite 251-253 volume:6 year:2022 number:4 pages:251-253 https://doi.org/10.4103/bjoa.bjoa_97_22 kostenfrei https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 kostenfrei http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane kostenfrei https://doaj.org/toc/2549-2276 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 6 2022 4 251-253 |
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10.4103/bjoa.bjoa_97_22 doi (DE-627)DOAJ018931472 (DE-599)DOAJbd65a33246d047ddb55bccbf2ed3b943 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Prieta Adriane verfasserin aut Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). atrial septal defect icu management ph crisis pulmonary hypertension Anesthesiology Rudyanto Sedono verfasserin aut Ni Luh Kusuma Dewi verfasserin aut In Bali Journal of Anesthesiology 6(2022), 4, Seite 251-253 volume:6 year:2022 number:4 pages:251-253 https://doi.org/10.4103/bjoa.bjoa_97_22 kostenfrei https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 kostenfrei http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane kostenfrei https://doaj.org/toc/2549-2276 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 6 2022 4 251-253 |
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10.4103/bjoa.bjoa_97_22 doi (DE-627)DOAJ018931472 (DE-599)DOAJbd65a33246d047ddb55bccbf2ed3b943 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Prieta Adriane verfasserin aut Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). atrial septal defect icu management ph crisis pulmonary hypertension Anesthesiology Rudyanto Sedono verfasserin aut Ni Luh Kusuma Dewi verfasserin aut In Bali Journal of Anesthesiology 6(2022), 4, Seite 251-253 volume:6 year:2022 number:4 pages:251-253 https://doi.org/10.4103/bjoa.bjoa_97_22 kostenfrei https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 kostenfrei http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane kostenfrei https://doaj.org/toc/2549-2276 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 6 2022 4 251-253 |
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10.4103/bjoa.bjoa_97_22 doi (DE-627)DOAJ018931472 (DE-599)DOAJbd65a33246d047ddb55bccbf2ed3b943 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Prieta Adriane verfasserin aut Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). atrial septal defect icu management ph crisis pulmonary hypertension Anesthesiology Rudyanto Sedono verfasserin aut Ni Luh Kusuma Dewi verfasserin aut In Bali Journal of Anesthesiology 6(2022), 4, Seite 251-253 volume:6 year:2022 number:4 pages:251-253 https://doi.org/10.4103/bjoa.bjoa_97_22 kostenfrei https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 kostenfrei http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane kostenfrei https://doaj.org/toc/2549-2276 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 6 2022 4 251-253 |
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Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). |
| abstractGer |
Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). |
| abstract_unstemmed |
Atrial Septal Defect (ASD) is the most common congenital disorder found in adulthood, accounting for 35% of Adult Congenital Heart Disease (ACHD). In ASD, there is a defect in the septum/wall between right and left atria, resulting in left-to-right shunt which lead to an increase of the right heart volume and pulmonary circulation. If left untreated, increased pulmonary resistance develop to pulmonary hypertension (PH) which results in a progressive decrease in right ventricular function, causing right heart failure and death. Although ASD surgical closure is not a complicated procedure, patients with complication of PH and right heart failure have a high mortality rate if not managed properly. Increase in mortality was mainly due to perioperative pulmonary hypertensive crisis (PH crisis), condition of an acute increase in mean pulmonary arterial pressure (mPAP) exceeding mean systemic arterial pressure (MAP). In this case report, we will discuss the management of postoperative adult patients with ASD closure complicated by intraoperative pulmonary hypertensive crisis who are treated in the intensive care unit (ICU). |
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Pulmonary hypertension crisis management in adult atrial septal defect surgical closure: A case report |
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https://doi.org/10.4103/bjoa.bjoa_97_22 https://doaj.org/article/bd65a33246d047ddb55bccbf2ed3b943 http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=4;spage=251;epage=253;aulast=Adriane https://doaj.org/toc/2549-2276 |
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2024-07-03T20:50:34.212Z |
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