Author/Authors :
Forlemu, Arnold Nongmoh Department of Internal Medicine Cardiology - Creighton University School of Medicine-Phoenix/Maricopa Integrated Health System, Phoenix, AZ, USA , Ajmal, Muhammad Department of Cardiology - University of Arizona College of Medicine - Sarver Heart Center, Tucson, AZ, USA , Saririan, Mehrdad Department of Cardiology - Creighton University School of Medicine -Phoenix/Maricopa Integrated Health System, Phoenix, AZ, USA
Abstract :
Atrial septal defects (ASDs) are common congenital heart defects (CHD). The clinical course in patients without closure of the ASD
is associated with significant morbidity and mortality in advanced age. A small percentage of patients may develop pulmonary
arterial hypertension (PAH) due to left to right shunting that impacts morbidity and mortality. Advances in prenatal screening
and fetal echocardiography have allowed timely interventions. Nonetheless, some patients still may be diagnosed with ASD in
adulthood as an incidental finding or presenting with clinical symptoms such as shortness of breath from right heart failure. We
report a case of an adult female presenting with shortness of breath due to ASD causing PAH with Eisenmenger physiology
