{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:17:16Z","timestamp":1769195836756,"version":"3.49.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Atrial septal defect is the most common type of congenital heart disease. Interventional closure is currently the best treatment for the atrial septal defect. However, the repair strategy for atrial septal defect accompanies by severe pulmonary hypertension remains controversial. We report a case of an atrial septal defect with severe pulmonary hypertension in which we applied a perforated occlude for atrial septal defect percutaneously at first. After 6\u00a0months, when the pulmonary pressure gradually went down, we completely blocked the reserved hole with a closure device percutaneously. We suggest that the stepwise procedure is an important treatment option for select patients with atrial septal defect accompanied by severe pulmonary hypertension.<\/jats:p>","DOI":"10.1093\/jscr\/rjac612","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T21:26:01Z","timestamp":1673385961000},"source":"Crossref","is-referenced-by-count":2,"title":["\u2018Two-step\u2019 percutaneous procedure for repairing the atrial septal defect with severe pulmonary hypertension: a case report"],"prefix":"10.1093","volume":"2023","author":[{"given":"Liang","family":"Fu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruoxin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinlong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yinkai","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zonghui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shanghai Sixth People\u2019s Hospital , Shanghai , People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"2023011021255293000_ref1","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s12471-015-0663-z","article-title":"Secundum atrial septal defect in adults: a practical review and recent developments","volume":"23","author":"Kuijpers","year":"2015","journal-title":"Neth Heart J"},{"key":"2023011021255293000_ref2","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1016\/S0140-6736(13)62145-5","article-title":"Atrial septal defects","volume":"383","author":"Geva","year":"2014","journal-title":"Lancet"},{"key":"2023011021255293000_ref3","first-page":"820","article-title":"Natural history of atrial septal defect","volume":"32","author":"Campbell","year":"1970","journal-title":"Cardiovasc 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congenital heart disease","volume":"43","author":"Brida","journal-title":"Eur Heart J"},{"key":"2023011021255293000_ref11","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1016\/S0828-282X(06)70950-3","article-title":"Eisenmenger syndrome and atrial septal defect: nature or nurture?","volume":"22","author":"Therrien","year":"2006","journal-title":"Can J Cardiol"},{"key":"2023011021255293000_ref12","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/hrt.82.1.30","article-title":"Incidence of secondary pulmonary hypertension in adults with atrial septal or sinus venosus defects","volume":"82","author":"Vogel","year":"1999","journal-title":"Heart"},{"key":"2023011021255293000_ref13","doi-asserted-by":"crossref","first-page":"1916","DOI":"10.1111\/1556-4029.14076","article-title":"A case of sudden death due to persistent severe pulmonary arterial hypertension after late atrial septal defect closure","volume":"64","author":"Serinelli","year":"2019","journal-title":"J 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