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J Thorac Cardiovasc Surg 2009;138:786
© 2009 The American Association for Thoracic Surgery
Letter to the Editor |
a Department of Cardiothoracic Surgery, Medical University of Vienna, Austria
b Department of Cardiology, Medical University of Vienna, Austria
| The first 20% of the full text of this article appears below. |
We thank Dr Beghetti and colleagues for their thoughtful comments regarding the hemodynamic evaluation and further management of our recent case of atrial septal defect (ASD).1
The management of patients with a degree of pulmonary vascular disease prior to shunt closure has been a matter of debate. In addition, recent studies demonstrating the efficacy of oral vasodilators in pulmonary vascular disease associated with congenital systemic-to-pulmonary shunts2,3
have fueled an uncertainty of vasodilator pretreatments prior to shunt closure.
Despite optimized medical treatment with diuretics, antibiotics, and oral anticoagulant over 4 months since the first
Related Article
J. Thorac. Cardiovasc. Surg. 2009 138: 785-786.
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