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The Hole Story: When to Consider Atrial Septostomy in the Adult with PAH
The treatment of right heart failure in PAH is crucial to quality of life and overall survival from this disease. Atrial septostomy [AS] is a procedure to create an interatrial communication to decompress the right ventricle and augment systemic blood flow. Some Adults with PAH and progressive symptoms maybe a candidate for AS for quality of life and symptom improvement.
Obesity is an important health issue in the United States and appears to have a significant impact on the disease course, as well as the response to therapy, in at least some patients with pulmonary arterial hypertension (PAH). Bariatric surgery represents a significant risk in patients with PAH; however, it may be a worthwhile consideration when non-surgical weight loss strategies and maximizing PAH therapies have not achieved treatment goals. This session will explore our limited understanding of the relationship between obesity and PAH and describe what the field has learned from previous cases of successful bariatric surgery in patients with PAH.