Pulmonary & Respiratory Medicine

Kristaps Sablinskis

Publications

• Case Report
  Pulmonary Arterial Hypertension Associated with Adult Congenital Heart Disease, when Inoperable becomes Operable: A Case Report
  Author(s): Andris Skride, Sabine Upmale, Kristaps Sablinskis, Ainars Rudzitis and Aivars LejnieksAndris Skride, Sabine Upmale, Kristaps Sablinskis, Ainars Rudzitis and Aivars Lejnieks
  
  Pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD) is one of the most common forms of pulmonary arterial hypertension (PAH). Unlike the other forms, PAH-CHD can be treated surgically closing the extra- or intracardiac shunt if the shunt is left-to-right and the pulmonary vascular resistance (PVR) is low enough (<2,3-operable, 2,3-4,6 WU-borderline operable). If the PAH postoperatively persists the prognosis is even worse than for non-operated patients. Due to the previously mentioned fact the criteria for operability in such cases are often discussed. We report a case of a 54-year-old man who suffers from coronary artery disease (SYNTAX score-23,5) and PAH-CHD. As the patient required coronary artery bypass grafting (CABG) surgery, the atrial septal defect (ASD) was closed (surgically with a patch followed by transca.. Read More»
  DOI: 10.4172/2161-105X.1000350

  Abstract PDF