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Operable ventricular septal defect despite severe pulmonary hypertension and cyanosis!

Part of: Surgery Ventricular Septal Defect (VSD)

Published online by Cambridge University Press:  23 July 2019

Shyam S. Kothari ,
Jay Relan Open the ORCID record for Jay Relan [Opens in a new window]  and
Velayoudam Devagourou
Shyam S. Kothari*
Affiliation:
Departments of Cardiology, and Cardiothoracic surgery, All India Institute of Medical Sciences, New Delhi, India
Jay Relan
Affiliation:
Departments of Cardiology, and Cardiothoracic surgery, All India Institute of Medical Sciences, New Delhi, India
Velayoudam Devagourou
Affiliation:
Departments of Cardiology, and Cardiothoracic surgery, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr. S. S. Kothari, Professor (Cardiology), All India Institute of Medical Sciences, New Delhi-110029, India. Tel: +9868398166; Fax: +91 112 658 8641; E-mail: kothariss@vsnl.com
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Abstract

Patients with a significant left-to-right shunt at ventricular level may become inoperable at an early age due to irreversible pulmonary vascular disease. On the other hand, even suprasystemic pulmonary hypertension due to mitral stenosis remains treatable. We report a 24-year-old patient with large ventricular septal defect, severe mitral stenosis and cyanosis who improved after surgical correction of both the lesions. This emphasises the importance of additional post-capillary pulmonary hypertension in Eisenmenger syndrome.

Keywords

Ventricular septal defectmitral stenosispulmonary arterial hypertensionEisenmenger syndrome
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 7 , July 2019 , pp. 986 - 988
Copyright
© Cambridge University Press 2019 

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References

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