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Percutane ingrepen bij volwassenen met congenitale hartziekten ...

Percutane ingrepen bij volwassenen met congenitale hartziekten ...

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When NOT to close ASD<br />

Pulmonary hypertension<br />

PVRI > 10 units<br />

Associated cyanosis<br />

ASD in setting of severe LV dysfunction<br />

Small defect clinically inapparent previously<br />

Clinical CHF: shunt PV congestion or both<br />

Very high LA mean pressure<br />

AMC Amsterdam Interventional Cardiology

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