Usefulness of atrial septostomy as a treatment for primary pulmonary hypertension and guidelines for its application

Am J Cardiol. 1997 Aug 1;80(3):369-71. doi: 10.1016/s0002-9149(97)00370-6.


We review our experience and that for 2 large series of atrial septostomy as a treatment for advanced pulmonary hypertension to better understand the hemodynamic changes that result. Atrial septostomy may be a useful procedure in patients with severe refractory pulmonary hypertension, but should not be used in patients who are critically ill.

MeSH terms

  • Adult
  • Cardiac Catheterization / methods*
  • Catheterization / methods*
  • Catheterization / mortality
  • Female
  • Heart Septum / surgery*
  • Hemodynamics
  • Humans
  • Hypertension, Pulmonary / surgery*
  • Male
  • Middle Aged
  • Patient Selection
  • Retrospective Studies
  • Survival Rate