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Case Reports
. 2015 Jul-Sep;18(3):441-4.
doi: 10.4103/0971-9784.159827.

Pulmonary edema following transcatheter closure of atrial septal defect

Keerthi Chigurupati  1 , Liza Jose Reshmi, Shrinivas Gadhinglajkar, S Venkateshwaran, Rupa Sreedhar
Affiliations
Case Reports

Pulmonary edema following transcatheter closure of atrial septal defect

Keerthi Chigurupati et al. Ann Card Anaesth. 2015 Jul-Sep.

Abstract

We describe an incident of development of acute pulmonary edema after the device closure of a secundum atrial septal defect in a 52-year-old lady, which was treated with inotropes, diuretics and artificial ventilation. Possibility of acute left ventricular dysfunction should be considered after the defect closure in the middle-aged patients as the left ventricular compliance may be reduced due to increased elastic stiffness and diastolic dysfunction. Baseline left atrial pressure may be > 10 mmHg in these patients. Associated risk factors for the left ventricular dysfunction are a large Qp:Qs ratio, systemic hypertension, severe pulmonary hypertension and paroxysmal atrial fibrillation.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Preoperative chest X-ray shows cardiomegaly and bilateral pulmonary plethora (b) chest X-ray after atrial septal defect device closure shows bilateral lung congestion in basal and hilar region
See this image and copyright information in PMC

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