title: Closure of an atrial septal defect with a one-way flap patch in a patient with severe pulmonary hypertension.
abstract: An isolated atrial septal defect (ASD) can occasionally go unrecognized for decades and accounts for 25-30% of congenital heart disease cases diagnosed in adulthood. Pulmonary hypertension often develops as a result of a long-lasting, left-to-right shunt and may ultimately be associated with a fixed increase of pulmonary vascular resistance, sometimes rendering these patients inoperable. To reduce the risk of developing postoperative morbidity and possible mortality, we employed our technique of a unidirectional valved patch for the closure of ASD.
authors.affiliation: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia.
authors.forename: Milenko
authors.initials: M
authors.lastname: Rosic
authors.affiliation: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia.
authors.forename: Stamenko
authors.initials: S
authors.lastname: Susak
authors.affiliation: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia.
authors.forename: Aleksandar
authors.initials: A
authors.lastname: Redzek
authors.affiliation: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia Clinic for Cardiovascular Surgery, Institute of Cardiovascular Diseases Vojvodina, Sremska Kamenica, Serbia lazar.velicki@mf.uns.ac.rs.
authors.forename: Lazar
authors.initials: L
authors.lastname: Velicki
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D012720:Severity of Illness Index; D013524:Surgical Flaps
keywords: Atrial septal defect; Congenital heart disease; Practice guidelines; Pulmonary vascular resistance/hypertension; Shunts; Surgery