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A member asked:
Is pulmonary hypertension always present in atrial septal defect?
4 doctors weighed in across 4 answers
No, but...: An ASD (v. Vsd) is much less associated w/ pulm HTN (> 50 mmhg). The degree of "shunting" through the defect needs to quantified via cardiac catheterization. Small ASD can now be closed via catheter=based techniques, but their are many caveats. Evaluation w/ both a interventional cardiologist and pulmonary expert is recommended...
Answered 3/9/2015
5k views
NO: The patients present in two ways with symptoms of respiratory infection and shortness of breath. In childhood and late in life in middle age. When the children are not treated after diagnosis of large shunt, they may develop pulmonary hypertension. Only in developing countries we see children in a late stage with ASD and pulmonary hypertension.
Answered 3/9/2015
5k views
No: No, it depends on the size of the defect, the amount of shunting and the age of the patient.
Answered 3/9/2015
5k views
No: People with asds do not always have pulmonary hypertension. An untreated ASD can potentially lead to pulmonary hypertension over a long period of time. But it's not always present.
Answered 3/9/2015
4.9k views
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