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WHAT IS THE ROLE FOR SURGERY IN THIS MIDDLE-AGED MAN PRESENTING WITH SEVERE HYPOXEMIA AND RIGHT VENTRICULAR FAILURE?

Andrew Harris,James R. Lee,Tiffany Chen,Peter J. Leary,Eric V. Krieger

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY（2018）

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Abstract
Repair of atrial septal defects (ASD) after the development of severe pulmonary arterial hypertension (PAH) and shunt reversal is contraindicated. However, there is controversy regarding surgical repair after successful treatment of PAH with pulmonary vasodilators.A 39-year-old man with 1 year of
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Key words
severe hypoxemia,right ventricular failure,surgery,middle-aged
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