{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:31:34Z","timestamp":1789997494576,"version":"4.0.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":2994,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T00:00:00Z","timestamp":1510099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We present the rare case of a patient with pulmonary hypertension in the context of the stiff left atrial syndrome after extensive catheter ablation, a unique constellation characterized by high pulmonary artery and pulmonary artery wedge pressures due to left atrial dysfunction but normal left ventricular end-diastolic pressure, normal mitral valve, and absence pulmonary vein stenosis. This patient was surprisingly oligosymptomatic, however, which may have been due to a persistent post-puncture atrial septal defect, which may have allowed for controlled left atrial decompression, which is in line with the novel concept of the catheter-based creation of an intracardiac shunt as a treatment for heart failure.<\/jats:p>","DOI":"10.1002\/ehf2.12234","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T04:13:32Z","timestamp":1510114412000},"page":"189-192","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Pulmonary Hypertension in Stiff Left Atrial Syndrome: Pathogenesis and Treatment in One"],"prefix":"10.1093","volume":"5","author":[{"given":"Micha T.","family":"Maeder","sequence":"first","affiliation":[{"name":"Cardiology Department, Kantonsspital St. Gallen , Rorschacherstrasse 95, 9007, St. Gallen ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reto","family":"N\u00e4gele","sequence":"additional","affiliation":[{"name":"Cardiology Department, Kantonsspital St. Gallen , Rorschacherstrasse 95, 9007, St. Gallen ,","place":["Switzerland"]},{"name":"Department of Internal Medicine, Spital Grabs , Grabs ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Rohner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Spital Grabs , Grabs ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Weilenmann","sequence":"additional","affiliation":[{"name":"Cardiology Department, Kantonsspital St. Gallen , Rorschacherstrasse 95, 9007, St. Gallen ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,11,8]]},"reference":[{"key":"2026012115120640700_ehf212234-bib-0001","doi-asserted-by":"crossref","DOI":"10.57187\/smw.2017.14395","article-title":"Pulmonary hypertension associated with left-sided heart diseases","volume":"147","author":"Maeder","year":"2017","journal-title":"Swiss Med Wkly"},{"key":"2026012115120640700_ehf212234-bib-0002","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.ijcard.2015.08.132","article-title":"Severely worsening dyspnea after initiation of macitentan therapy for pulmonary arterial hypertension","volume":"202","author":"Maeder","year":"2016","journal-title":"Int J Cardiol"},{"key":"2026012115120640700_ehf212234-bib-0003","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1016\/j.hrthm.2011.02.026","article-title":"Stiff left atrial syndrome after catheter ablation for atrial fibrillation: clinical characterization, prevalence, and predictors","volume":"8","author":"Gibson","year":"2011","journal-title":"Heart Rhythm"},{"key":"2026012115120640700_ehf212234-bib-0004","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.hrthm.2013.09.010","article-title":"Symptomatic pulmonary hypertension with giant left atrial v waves after surgical maze procedures: evaluation by comprehensive hemodynamic catheterization","volume":"10","author":"Welch","year":"2013","journal-title":"Heart Rhythm"},{"key":"2026012115120640700_ehf212234-bib-0005","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1111\/jce.12966","article-title":"Stiff left atrial syndrome: a complication undergoing catheter ablation for atrial fibrillation","volume":"27","author":"Yang","year":"2016","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2026012115120640700_ehf212234-bib-0006","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCHEARTFAILURE.117.003885","article-title":"Stiff left atrial syndrome after multiple percutaneous catheter ablations. 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