RESUMO
The presence of severe pulmonary arterial hypertension (PAH) in patients with atrial septal defect (ASD) is still thought to preclude shunt closure, although there are several reports of good clinical outcomes after vasodilator therapy. We report the case of a young woman with ASD and severe PAH who was able to successfully undergo percutaneous shunt closure following 1 year use of the oral endothelin receptor antagonist, bosentan.
Assuntos
Feminino , Humanos , Comunicação Interatrial , Hipertensão Pulmonar , Receptores de Endotelina , SulfonamidasRESUMO
The application of the arthroscope to the shoulder joint has evolved in recent years for the purpose of diagnosis and treatment. This paper presented 11 cases with various shoulder diseases treated by arthroscopy during the period from January, 1984 to September, 1985 in the Department of Orthopedic Surgery, College of Medicine, Soon Chun Hyang University. The advantages of the arthroscopy were as follows: 1. The arthroscopy made it easier to diagnose the unsolved cases by direct biopsy on the pathologic lesions in the joint. 2. The damage on the inside and outside of the shoulder joint was minimal and the post-operative incision scar was acceptable cosmetically. 3. The limitation of the joint motion did not remain due to early exercise post-operatively. 4. The complications such as infection, neurovascular injury, scuffing of joint cartilage, etc. could be avoided.