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

Micha T. Maeder, Reto Nägele, Philipp Rohner & Daniel Weilenmann

Kurzfassung 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.
   
Zitation 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;.
   
Typ Wissenschaftlicher Artikel/Review (Englisch)
Veröffentlichungsdatum 08-11-2017
Titel der Zeitschrift ESC Heart Fail
ISSN electronic 2055-5822
PubMed 29115016
DOI 10.1002/ehf2.12234