Very high heart pressures after ASD closure follow up

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Submitted by Dr T on July 19, 2011 – 8:24am

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Question: 
She was operated for ASD and the patch is in-situ as per echo report. She was operated at the age of 23 and both her ventricles were enlarged as per discharge report of the hospital. She undergoes echo every 2-3 months. Is right heart catheterization a treatment or a diagnostic technique? Is there any treatment available for this high pressure. Is this pressure of 110 too high.

Right heart catheterization is a diagnostic tool for evaluation of pulmonary hypertension. Other tests should include various types of lung scans. I have blogged about this several times:
https://www.cardiachealth.org/ca-blog/pulmonary-hypertension-is-it-dang
https://www.cardiachealth.org/ca-blog/i-had-an-echocardiogram-that-show
In your wife’s case, there are probably other reasons why her heart is so enlarged. One cause might include previous PE’s, blood clots to her lungs. Whatever the cause, her condition will eventually lead to heart failure:
https://www.cardiachealth.org/heart-information/heart-failure
Eventually, pateints like her may need a heart (lung) transplantation.
Hope this helps,
Dr T
https://www.cardiachealth.org/

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