論文

査読有り
2020年2月1日

Transcatheter Atrial Septal Defect Closure in a 'Nonagenarian' with Intractable Heart Failure: A Case Report.

Internal medicine (Tokyo, Japan)
  • Makiko Suzuki
  • ,
  • Kensuke Matsumoto
  • ,
  • Makiko Suto
  • ,
  • Yayoi Taniguti
  • ,
  • Hidekazu Tanaka
  • ,
  • Hiromasa Otake
  • ,
  • Toshiro Shinke
  • ,
  • Ken-Ichi Hirata

記述言語
英語
掲載種別
DOI
10.2169/internalmedicine.4070-19

A 92-year-old man was referred to our hospital with decompensated heart failure. He was treated with diuretics and inotropic agents, but the clinical response was unsatisfactory. Echocardiography incidentally revealed an atrial septal defect (ASD) with a significant left-to-right shunt and pulmonary-to-systemic-blood-flow ratio of 2.36. Because the ASD was considered to be the primary cause of his treatment-resistant heart failure, the patient underwent transcatheter ASD closure. Shortly after shunt closure, his hemodynamics significantly improved, and he was discharged nine days later. This is an extremely rare case of a nonagenarian who showed an excellent clinical course after transcatheter ASD closure.

リンク情報
DOI
https://doi.org/10.2169/internalmedicine.4070-19
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32009097

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