Pulmonary hypertension in stiff left atrial syndrome: pathogenesis and treatment in one
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abstract
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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.
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citation
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Maeder M T, Nägele R, Rohner P, Weilenmann D. Pulmonary
hypertension in stiff left atrial syndrome: pathogenesis and
treatment in one. ESC Heart Fail 2017;.
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type
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journal paper/review (English)
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date of publishing
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08-11-2017
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journal title
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ESC Heart Fail
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ISSN electronic
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2055-5822
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PubMed
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29115016
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DOI
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10.1002/ehf2.12234
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