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Atrial septostomy under transesophageal guidance in a patient with primary pulmonary hypertension and absent right superior vena cava

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Abstract

A patient presenting primary pulmonary hypertension and absent right superior vena cava underwent blade/balloon atrial septostomy as palliative therapy. Due to the anomaly of the venous drainage system, only transesophageal echocardiography allowed the performance of the maneuvre.

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References

  1. 1.

    Rich S, Lam W (1983) Atrial septostomy as palliative therapy for refractory primary pulmonary hypertension. Am J Cardiol 51:1560–1561

  2. 2.

    Nihill MR, O'Laughlin MP, Mullins CE (1991) Effects of atrial septostomy in patients with terminal cor pulmonale due to pulmonary vascular disease. Cathet Cardiovasc Diagn 24:166–172

  3. 3.

    Kerstein D, Levy PS, Hsu DT, Hordof AJ, Gersony WM, Barst RJ (1995) Blade balloon atrial septostomy in patients with severe primary pulmonary hypertension. Circulation 91:2028–2035

  4. 4.

    Rusk RA, Bexton RS, McComb JM (1996) Persistent left sided and absent right sided superior vena cava complicating permanent pacemaker insertion. Heart 74:413

  5. 5.

    Bloomfield DA, Sinclair-Smith BC (1965) The limbic edge, a landmark for transseptal left heart catheterization. Circulation 31:103–107

  6. 6.

    Clugston R, Lau FYK, Ruiz C (1992) Transseptal catheterization update 1992. Cathet Cardiovasc Diagn 26:266–274

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Correspondence to P. Unger.

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Unger, P., Stoupel, E., Vachiery, J.-. et al. Atrial septostomy under transesophageal guidance in a patient with primary pulmonary hypertension and absent right superior vena cava. Intensive Care Med 22, 1410–1411 (1996). https://doi.org/10.1007/BF01709560

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Key words

  • Primary pulmonary hypertension
  • Transesophageal echocardiography