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2010, Number 1

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Rev Mex Cardiol 2010; 21 (1)

Sinus venosus atrial septal defect and severe pulmonary hypertension. Case report

Paniagua MME, Villalobos SJA, Herrera MA, Castaño GR

Language: Spanish
References: 9
Page: 31-38
PDF size: 970.67 Kb.


ABSTRACT

We report a case of 61 year male, born in Mexico City. Diabetic since 2000 in treatment with glimepiride 2.0 mg daily. He had a cardiovascular history of congenital heart disease in Hospital La Raza without a specific diagnostic. Patient arrived to our hospital, and he was diagnosed with sinus venosus septal atrial defect with severe pulmonary hypertension. We know that atrial septal defect in adults has high incidence and sinus venosus septal atrial defect represents a third place with prevalence.of 5.0 %. Even do, in the majority of the cases the treatment is surgical, some of them still have chronic symptoms, because of right ventricular dilatation and severe pulmonary hypertension, present in 15-30% of adults with congenital heart disease, associated with increased mortality. That’s why the importance of risk stratification in congenital heart disease with high pulmonary hypertension, in the way to avoid complications and a worst prognosis after surgery.


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