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Right Heart Failure Atrial Septal Defect (DSA) Secondary With Tricuspid Regurgitation Doharjo Manullang; Menang B. Tarigan; Salomo G.U. Simanjuntak; Ivonne RVO Situmeang; Evi Rosa Simanjuntak
Indonesian Journal of Chemical Science and Technology (IJCST) Vol. 9 No. 1 (2026): JANUARY 2026
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/5wr9r650

Abstract

Congenital heart disease is a structural or functional abnormality of the cardiovascular system that is present at birth, although it can be found later in life. And the prevalence of ASD is around 9.8%. ASD is a condition where damage occurs in the inter-atrial septum, causing a connection between the left and right atrium. ASD is divided into 4 types: secundum type Atrial Septal Defect, primum type Atrial Septal Defect, sinus venosus type Atrial Septal Defect, and finally coronary sinus type Atrial Septal Defect. Secundum Atrial Septal Defect is the most common type. And generally, more often occurs in women than men with a ratio of 2:1. And the examination modalities in establishing Atrial Septal Defect include Chest X-ray, Electrocardiography and Echocardiography. The following is a case report of a 41-year-old man diagnosed with Secundum Atrial Septal Defect (ASD) + TR. This patient was diagnosed at the age of 41. In its natural course, ASD will cause pulmonary artery pressure to increase with age. ASD closure before age 24 can reduce the risk of long-term mortality to the same level as the ASD-free population. This case study aims to provide insight into diagnosis, management, and patient education to achieve optimal therapy and quality of life.
CHF ec STENOSIS AORTA ec RHD + PH SEKUNDER Doharjo Manullang; Menang Bastanta Tarigan; Salomo G U Simanjuntak; Ivonne Situmeang; Evi Rosa Simanjuntak; Reinhard DJ Hutahaeng
Jurnal Kedokteran Methodist Vol. 18 No. 1 (2025): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/jkm.v20i1.4327

Abstract

Stenosis is the most common valvular heart disease in Europe and North America with fear of calcification in the elderly (2-7% of the population> 65 years) while congenital aortic stenosis is usually caused by rheumatic heart disease which is now rare and usually found in young age. Classification of Aortic Stenosis. Classification of Aortic Stenosis can be divided based on the severity divided into 3 parts of mild, moderate, severe and very severe. Echocardiography modality is one of the gold standard tools for determining Aortic Stenosis which in echocardiography can capture Peak aortic jet velocity, the mean pressure gradient aortic valve area. The following is a case report of a 36 year old man with CHF ec Aortic Stenosis ec Rheumatic Heart Disease. This case was only diagnosed about 1 month ago with complaints of shortness of breath and chest pain. And the patient immediately went to RSMH for further treatment. This case was appointed for the management and preparation for surgery as a definitive therapy so that it is expected to give the best results in this patient