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ECG and chest X\u2010ray revealed overload of the right atrium and ventricle, and severe increase in pulmonary vascular markings. Transesophageal echocardiography showed a moderately large size ASD (18 x 23 mm<jats:sup>2<\/jats:sup>). Hemodynamic evaluation documented an increase in PA pressure of 37\/16 mm Hg and <jats:italic>Q<\/jats:italic><jats:sub>p<\/jats:sub>\/<jats:italic>Q<\/jats:italic><jats:sub>s<\/jats:sub> of 2.33. Her systemic condition did not improve following diuretics, cathecholamine, and afterload\u2010reducing substances. She required mechanical ventilation for severe hypoxia. She underwent successful closure of the ASD using an Amplatzer septal occluder on day 17. Hemodynamics and findings on chest X\u2010ray dramatically improved after this procedure. She was discharged from the hospital on foot. \u00a9 2006 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.20822","type":"journal-article","created":{"date-parts":[[2006,10,13]],"date-time":"2006-10-13T01:35:02Z","timestamp":1160703302000},"page":"758-762","source":"Crossref","is-referenced-by-count":0,"title":["An 84\u2010year\u2010old patient with an atrial septal defect rescued using the amplatzer septal occluder device"],"prefix":"10.1002","volume":"68","author":[{"given":"Tetsuya","family":"Sato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Hioka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teiji","family":"Akagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,10,25]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20211"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.8.2162"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199712)42:4<388::AID-CCD7>3.0.CO;2-7"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.10.067"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20315"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.06.086"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01862-4"},{"key":"e_1_2_4_9_2","first-page":"1117","article-title":"Transcatheter closure of atrial septal defect: Are we there yet?","volume":"31","author":"Rao PS","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.2.199"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00039-4"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.66.791"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2002.tb03295.x"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2005.03.027"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.5.485"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.121160"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-004-0042-z"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.20822","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.20822","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T19:37:17Z","timestamp":1700077037000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.20822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,10,25]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2006,11]]}},"alternative-id":["10.1002\/ccd.20822"],"URL":"https:\/\/doi.org\/10.1002\/ccd.20822","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,10,25]]}}}