Eisenmenger Syndrome in Adult Patient with Ostium Secundum Atrial Septal Defect

Case Report

Zaimi A and Slioui B

Abstract

The diagnosis of congenital heart disease in adulthood is not unusual, but Eisenmenger syndrome is a rarecomplication associated with substantial morbidity and mortality. It occurs mostly in patients with post tricuspiddefect or complex lesions. Exceptionally found in patients with pre-tricuspid defect, especially in the case of theostium secundum atrial septal defect. While lung (plus defect repair) or combined heart and lung transplantation isthought be the definitive treatment for Eisenmenger syndrome, transplant organs are a limited resource and longtermresults are still suboptimal. Eisenmenger syndrome patients have benefitted greatly from recent advances inthe management of this condition, especially the introduction of pulmonary artery hypertension therapies. We reportthe case of a 39-year-old woman who was admitted with signs of progressive dyspnea who was diagnosed withostium secundum atrial septal defect complicated by Eisenmenger syndrome.

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