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Left Atrial Stenosis Induced Pulmonary Venous Arterialization and Group 2 Pulmonary Hypertension in Rat
Published on: November 18, 2018
Common atrium and pulmonary vascular disease
Dina J Ferdman1, Daniela Brady, Erika B Rosenzweig
1Division of Pediatric Cardiology, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. df170@columbia.edu
Insights
Congenital common atrium can lead to pulmonary vascular disease in children. Early monitoring and surgical repair may prevent severe outcomes in patients with this heart defect.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease
- Pulmonary Hypertension
Background:
- Congenital common atrium is a rare heart defect.
- Pulmonary vascular disease (PVD) is a serious complication.
- Understanding PVD progression in this condition is crucial.
Observation:
- A case series of six patients with congenital common atrium and PVD was analyzed.
- PVD onset varied, with some developing it within the first year of life.
- Four patients underwent surgical repair; five received targeted pulmonary hypertension therapy.
Findings:
- The clinical course of congenital common atrium with PVD may differ from large atrial septal defects.
- Pulmonary hypertension developed in all observed patients.
- Surgical intervention and medical management were employed.
Implications:
- Early detection and monitoring of PVD in congenital common atrium are vital.
- Timely surgical correction may be essential for preventing severe PVD.
- This case series highlights the need for tailored management strategies.
Abstract:
This report describes a case series of six patients with congenital common atrium who developed pulmonary vascular disease. Three developed early pulmonary vascular disease within their first year of life, while the others became symptomatic at ages 2, 5, and 17. Four of the six underwent surgical repair, and five of the six patients are being treated on targeted pulmonary hypertension therapy. Based on our observations, the clinical course of children with common atrium may differ from patients with a large atrial septal defect. Early monitoring and surgical correction, if necessary, may prevent the onset of severe pulmonary vascular disease.
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