Back
Full-text
Journal article

Pulmonary hypertension in stiff left atrial syndrome: pathogenesis and treatment in one.

  • Maeder MT Cardiology Department, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
  • Nägele R Cardiology Department, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
  • Rohner P Department of Internal Medicine, Spital Grabs, Grabs, Switzerland.
  • Weilenmann D Cardiology Department, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
  • 2017-11-09
Published in:
  • ESC heart failure. - 2018
Catheter ablation
Left atrium
Post-capillary
Pulmonary hypertension
Adrenergic beta-Antagonists
Aged
Anticoagulants
Atrial Fibrillation
Drug Therapy, Combination
Echocardiography
Heart Atria
Humans
Hypertension, Pulmonary
Male
Pulmonary Wedge Pressure
Syndrome
English We present the rare case of a patient with pulmonary hypertension in the context of the stiff left atrial syndrome after extensive catheter ablation, a unique constellation characterized by high pulmonary artery and pulmonary artery wedge pressures due to left atrial dysfunction but normal left ventricular end-diastolic pressure, normal mitral valve, and absence pulmonary vein stenosis. This patient was surprisingly oligosymptomatic, however, which may have been due to a persistent post-puncture atrial septal defect, which may have allowed for controlled left atrial decompression, which is in line with the novel concept of the catheter-based creation of an intracardiac shunt as a treatment for heart failure.
Language
  • English
Open access status
gold
Identifiers
Persistent URL
https://sonar.ch/global/documents/139837
Statistics
Document views: 31 File downloads:
  • Full-text: 0