title: [Surgical closure of atrial septal defect--when is it too late?].
abstract: We describe a 41 year-old patient with atrial septal defect combined with mitral stenosis, severe pulmonary hypertension and tricuspid regurgitation. Despite high pulmonary vascular resistance, surgical intervention was decided on. Follow up proved to be successful. The role of echocardiography and hemodynamics data to establish a preoperative diagnosis is discussed.
authors.affiliation: Kliniki Szybkiej Diagnostyki Instytutu Kardiologii, Warszawie.
authors.forename: B
authors.initials: B
authors.lastname: Majewska
authors.forename: W
authors.initials: W
authors.lastname: Rydlewska-Sadowska
authors.forename: E
authors.initials: E
authors.lastname: Borowiecka
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications; D008946:Mitral Valve Stenosis / Q000150:complications; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000150:complications
vernacular_title: Leczenie operacyjne ubytku przegrody miedzyprzedsionkowej--kiedy nie jest za późno?