Open AccessPulmonary hypertension in stiff left atrial syndrome: pathogenesis and treatment in one
Author(s) -
Maeder Micha T.,
Nägele Reto,
Rohner Philipp,
Weilenmann Daniel
Publication year - 2018
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.12234
Subject(s) - medicine , cardiology , pulmonary wedge pressure , pulmonary hypertension , intracardiac injection , pulmonary artery , catheter ablation , heart failure , catheter , pulmonary vein , diastole , mitral valve replacement , context (archaeology) , cardiac catheterization , mitral valve , ablation , surgery , blood pressure , paleontology , biology
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.