Hunter Temple BS, Cihan Cevik MD
An adult male had persistent hypoxemia and erythrocytosis after repair of hemodynamically significant pulmonic valve stenosis. A large ostium secundum atrial septal defect was subsequently found as the cause of these symptoms. This sequence of events warrants review of his workup at his initial visit and follow-up visit and of the diagnosis and treatment of his pulmonic stenosis and atrial septal defect. The onset of new symptoms in an adult with a history of congenital heart disease indicates that additional cardiac evaluation is needed. This particular patient had an undiagnosed right-to-left shunt through an atrial septal defect.
Keywords: ostium secundum atrial septal defect, pulmonary valve stenosis, Amplatzer septal occluder, adult
Article citation: Temple H, Cevik, C. Atrial septal defect and concomitant significant pulmonic stenosis in an adult patient. The Southwest Respiratory and Critical Care Chronicles 2022;10(43):43–47
From: Rocky Vista University College of Osteopathic Medicine (HT), Colorado Springs, CO, UCHealth Memorial Central Hospital Interventional Cardiology (CC), Colorado Springs, CO
Conflicts of interest: none
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