The article, "transcatheter closure of atrial septal defect associated with pulmonary artery hypertension using fenestrated devices", was reviewed.This research article is a retrospective single center experience to evaluate the safety and efficacy of transcatheter closure of atrial septal defect(asd) in selected patients with pulmonary artery hypertension (pah) using a fenestrated device followed by pulmonary vasodilator therapy.Amplatzer septal occluder(abbott) was associated with the study.There is no allegation of malfunction of the abbott device.The article concluded that asd patients with moderate-to-severe pah can be managed by using a fenestrated device and followed by vasodilator treatment.The strategy of partial closure with a fenestrated device followed by vasodilator treatment was effective in majority of the patients.The primary and correspondence author of the article is jou-kou wang, md, phd, department of pediatrics, national taiwan university hospital, and medical college, national taiwan university, taipei, taiwan with the corresponding email: jkww@ntuh.Gov.Tw.
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As reported in a research article, 51 patient underwent secundum type atrial septal defect closure with an amplatzer septal occluder between (b)(6) 2002 and (b)(6) 2017; events of 35 patients receiving vasodilator therapy, fenestrations still patent in 15 patients, and left-to-right shunt across the fenestrations observed on precordial echocardiography in 21 patients were reported.A more comprehensive assessment could not be performed as the event was non-contemporaneously reported through a literature review and no device was received for analysis.Based on the information received, the cause of the reported incident could not be conclusively determined.
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