Abstract
Severe pulmonary arterial hypertension (PAH) rarely develops in children with an atrial septal defect (ASD), even those with a large defect. We herein report the case of a 27-year-old man with a moderate-sized secundum ASD and right ventricular failure due to severe PAH, which developed in his early teens. He was diagnosed as having a genetic mutation of the bone morphogenetic protein receptor-2 (BMPR2) gene and was successfully treated with bilateral lung transplantation with ASD path closure. In patients with congenital heart disease, a genetic analysis may provide information about the lifetime risk of developing PAH.
Original language | English |
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Pages (from-to) | 3193-3197 |
Number of pages | 5 |
Journal | Internal Medicine |
Volume | 56 |
Issue number | 23 |
DOIs | |
Publication status | Published - 2017 |
Keywords
- Atrial septal defect
- BMPR2 mutation
- Congenital heart disease
- Eisenmenger syndrome
- Lung transplantation
- Pulmonary arterial hypertension