Atrial septal defect Eisenmenger's syndrome: Difference between revisions
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The outcome among ASD patients with [[Eisenmenger's syndrome]] is generally poor irrespective of surgical or medical treatment. | The outcome among ASD patients with [[Eisenmenger's syndrome]] is generally poor irrespective of surgical or medical treatment. | ||
==Eisenmenger's | ==Eisenmenger's Syndrome== | ||
If [[Eisenmenger's syndrome]] has developed, there is a significant risk of mortality regardless of the method of closure of the [[atrial septal defect]]. In individuals who have developed [[Eisenmenger's syndrome]], the pressure in the [[right atrium]] is sufficiently elevated to reverse the [[shunt]], and cause right to left shunting. If the [[atrial septal defect]] is then closed, the [[afterload]] that the [[right ventricle]] has to contract against suddenly increases and this may lead to acute [[right ventricular failure]]. Complications that occur as a result of [[Eisenmenger's syndrome]] include [[thrombosis]] and [[bleeding]]. Patients with [[Eisenmenger's syndrome]] should not become [[pregnant]] as there is an extremely high risk of [[maternal mortality]]. | If [[Eisenmenger's syndrome]] has developed, there is a significant risk of mortality regardless of the method of closure of the [[atrial septal defect]]. In individuals who have developed [[Eisenmenger's syndrome]], the pressure in the [[right atrium]] is sufficiently elevated to reverse the [[shunt]], and cause right to left shunting. If the [[atrial septal defect]] is then closed, the [[afterload]] that the [[right ventricle]] has to contract against suddenly increases and this may lead to acute [[right ventricular failure]]. Complications that occur as a result of [[Eisenmenger's syndrome]] include [[thrombosis]] and [[bleeding]]. Patients with [[Eisenmenger's syndrome]] should not become [[pregnant]] as there is an extremely high risk of [[maternal mortality]]. |
Revision as of 21:29, 10 January 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]
Overview
The outcome among ASD patients with Eisenmenger's syndrome is generally poor irrespective of surgical or medical treatment.
Eisenmenger's Syndrome
If Eisenmenger's syndrome has developed, there is a significant risk of mortality regardless of the method of closure of the atrial septal defect. In individuals who have developed Eisenmenger's syndrome, the pressure in the right atrium is sufficiently elevated to reverse the shunt, and cause right to left shunting. If the atrial septal defect is then closed, the afterload that the right ventricle has to contract against suddenly increases and this may lead to acute right ventricular failure. Complications that occur as a result of Eisenmenger's syndrome include thrombosis and bleeding. Patients with Eisenmenger's syndrome should not become pregnant as there is an extremely high risk of maternal mortality.
References