{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:03:11Z","timestamp":1761897791845,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T00:00:00Z","timestamp":1673481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Atrial septal defect (ASD) can often remain asymptomatic until adulthood. It still remains unclear whether large ASD closure in senior people should be performed or not. Temporary ASD balloon occlusion test has been suggested as a tool to assess the risk of acute left ventricular heart failure post-ASD closure, and it allows to better distinguish responders from non-responders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>An 83-year-old man with a long-standing uncorrected secundum ASD was admitted for recently decompensated right-sided heart failure. During hospitalization, this patient was studied with trans-esophageal echocardiography, cardiac magnetic resonance imaging, and right heart catheterization, showing high Qp:Qs ratio and favorable anatomical conditions for percutaneous closure. Because of patient\u2019s increasing need for intravenous diuretics and worsening renal function, it was considered that transcatheter ASD closure could improve symptoms, hence it was performed an attempt of percutaneous closure of the ASD with a fenestrated device. Unfortunately, irrespective of ASD being hemodynamically significant, it was found a very significant increase in pulmonary capillary wedge pressure during the temporary balloon occlusion test, supporting the existence of concealed left ventricular diastolic dysfunction. As a result, it was decided to abandon the procedure and not to close the ASD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This clinical case illustrates the value of temporary balloon occlusion test before permanent percutaneous closure of ASD in elderly patients, regardless of left ventricular (systolic or diastolic) dysfunction.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12872-023-03046-9","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T17:03:41Z","timestamp":1673543021000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Temporary atrial septal defect balloon occlusion test as a must in the elderly"],"prefix":"10.1186","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2465-2217","authenticated-orcid":false,"given":"Andr\u00e9","family":"Alexandre","sequence":"first","affiliation":[]},{"given":"Andr\u00e9","family":"Luz","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9 Dias","family":"de Frias","sequence":"additional","affiliation":[]},{"given":"Raquel Baggen","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Bruno","family":"Brochado","sequence":"additional","affiliation":[]},{"given":"Filomena","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Silveira","sequence":"additional","affiliation":[]},{"given":"Severo","family":"Torres","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2023,1,12]]},"reference":[{"key":"3046_CR1","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.2147\/CIA.S62313","volume":"9","author":"M Komar","year":"2014","unstructured":"Komar M, Przewlocki T, Olszowska M, Sobien B, Podolec P. The benefit of atrial septal defect closure in elderly patients. Clin Interv Aging. 2014;9:1101\u20137.","journal-title":"Clin Interv Aging"},{"key":"3046_CR2","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1016\/j.ijcard.2016.05.024","volume":"218","author":"M Thilen","year":"2016","unstructured":"Thilen M, Christersson C, Dellborg M, Mattsson E, Trzebiatowska-Krzynska A, Thilen U. Catheter closure of atrial septal defect in the elderly (>\/=65years). A worthwhile procedure. Int J Cardiol. 2016;218:25\u201330.","journal-title":"Int J Cardiol"},{"issue":"1","key":"3046_CR3","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jjcc.2014.09.002","volume":"65","author":"T Akagi","year":"2015","unstructured":"Akagi T. Current concept of transcatheter closure of atrial septal defect in adults. 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A copy of the written consent is available for review upon request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}