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Vol 4 No 4 (2017): KOMPLIKASI PADA PASIEN ATRIAL SEPTAL DEFECT DEWASA DENGAN SURVIVALITAS ALAMI

Adhella Menur Naysilla
Dokter Umum RSUD Brigjen H. Hasan Basry, Kandangan,
Hulu Sungai Selatan, Kalimantan Selatan, Indonesia

 

ABSTRACT
The development of congenital heart disease management (PJB) causes patients to live an adult life now known as Congenital Heart Disease (GUCH) and Adult Congenital Heart Disease (ACHD). Patients with acute ureanotic ACHD with natural survival (no intervention measures in childhood) can suffer from complications of pulmonary hypertension and Eisenmenger syndrome. Complications can increase patient morbidity and
mortality and worsen the quality of life. The patient may need corrective surgery and even a heart transplant. Some conditions that can not be administered by surgery cause the patient to take medication and in high lifetime medical surveillance. This case report discusses a 26-year-old male Banjar tribe coming with cough and breath with oxygen saturation of four extremities of 80%. Patients have a history of congenital heart disease with no intervention measures in childhood. Patients were diagnosed with sekundum ASD with severe pulmonary hypertension and Eisenmenger syndrome, secondary polycythemia PJB, and pulmonary TB in advanced stage 1 treatment. Diagnosis is obtained from anamnesis, physical examination, and investigation. ECG, radiology, laboratory, spirometry, and echocardiography Doppler. Patients care in ICU and treated with oxygenation, pulmonary vasodilators, diuretics, and iron supplementation and folic acid. Advanced pulmonary TB treatment. The patient underwent flebotomy 3 times. After treating 18 days, the patient showed a clinical improvement and was referred to the Ulin Hospital Banjarmasin for further examination and management.
Keywords : ACHD asianotik, ASD sekundum, pulmonary hypertension, Eisenmenger syndrome

Published: 2017-11-04
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2014

Jurnal Chest Vol. 1 No. 2    April - June  2014

Jurnal Chest Vol. 1 No. 3      July - September 2014

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Jurnal Chest Vol. 2 No. 2        April - June 2015

Jurnal Chest Vol. 2 No. 3        July - September 2015

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Jurnal Chest Vol. 3 No. 1          Jan - Mar 2016

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Jurnal Chest Vol. 3 No. 4        October - December 2016

 2017

Jurnal Chest Vol. 4 No. 1       Jan - Mar 2017

Jurnal Chest Vol. 4 No. 2       Apr - Jun 2017

Jurnal Chest Vol. 4 No. 3       Juli - Sept 2017

Jurnal Chest Vol. 4 No. 4       Okt - Des 2017

 

 

 

Table of Contents

Editorial
Masalah Putus Obat dan Kepatuhan dalam Penanganan Pasien TB-.................................-Zulkifli Amin PDF

Original Article

Correlation Between Inhaled Beta 2 Agonist and Corticosteroid with The Degree of Control and Lung Function in Asthma................. pdf
KOMPLIKASI PADA PASIEN ATRIAL SEPTAL DEFECT DEWASA
DENGAN SURVIVALITAS ALAMI.............................................................................................................................................................
pdf
The Impact of Genetic Profile Diversity of Mycobacterium Tuberculosis In Tb-HIV Compared to TB Non HIV Patients...................... pdf

Case Report

Pulmonary Hypertension in Obesity Hypoventilation Syndrome................................................................................................................... pdf
LOWER-LIMB VENOUS-THROMBO EMBOLISM IN POST ELECTIVE PERCUTANEOUS CORONARY INTERVENTION............................................................................................................................................................................................. pdf

 



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