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Transcatheter Atrial Septal Defect Closure in a 'Nonagenarian' with Intractable Heart Failure

descriptionPublicationkeyboard_double_arrow_right Article , Other literature type 15 Apr 2020Publisher:Japanese Society of Internal MedicineJournal:Internal Medicine, volume 59, pages 1,059-1,063 (issn: 0918-2918, eissn: 1349-7235,

Authors: Hidekazu Tanaka; Y Taniguchi; Makiko Suto; Hiromasa Otake; Toshiro Shinke; Kensuke Matsumoto; Ken-ichi Hirata; +1 Authors

doi: 10.2169/internalmedicine.4070-19

pmid: 32009097

pmc: PMC7205533

Transcatheter Atrial Septal Defect Closure in a 'Nonagenarian' with Intractable Heart Failure

- Summary
- Subjects
- Metrics

Abstract

A 92-year-old man was referred to our hospital with decompensated heart failure. He was treated with diuretics and inotropic agents, but the clinical response was unsatisfactory. Echocardiography incidentally revealed an atrial septal defect (ASD) with a significant left-to-right shunt and pulmonary-to-systemic-blood-flow ratio of 2.36. Because the ASD was considered to be the primary cause of his treatment-resistant heart failure, the patient underwent transcatheter ASD closure. Shortly after shunt closure, his hemodynamics significantly improved, and he was discharged nine days later. This is an extremely rare case of a nonagenarian who showed an excellent clinical course after transcatheter ASD closure.

Related Organizations

Kobe University
Japan

Keywords

Aged, 80 and over, Heart Failure, Male, Treatment Outcome, Echocardiography, Hemodynamics, Humans, Case Report, Heart Septal Defects, Atrial

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