Repair of atrial septal defect with Eisenmenger syndrome after long-term sildenafil therapy.

Kim, Young-Hwue; Yu, Jeong Jin; Yun, Tae-Jin; Lee, Yonghee; Kim, Yong Beom; Choi, Hyung Soon; Jhang, Won Kyoung; Shin, Hong Ju et al. · Ann Thorac Surg · 2010

case_report · Level V

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Abstract

We report a woman with atrial septal defect and severe pulmonary hypertension with 25.0 Wood unit.m(2) of indexed total pulmonary vascular resistance. She underwent successful corrective repair of atrial septal defect after 2 years of treatment with sildenafil, and has been monitored for 4 years after repair. This case supports a "treat and repair" approach using advanced pulmonary vasodilator therapy in selected patients with inoperable severe pulmonary hypertension associated with atrial septal defect.

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