Evidence map›Paper›PMID 41476803›Full record

ArticleClinical case reports2026

A Case of Atrial Septal Defect Unveiled by the Treatment for Pulmonary Arterial Hypertension.

Takaaki Fujii, Sayuri Yamabe, Yoshiro Tsuruta, Yu Kawada, Tatsuya Mizoguchi, Masashi Yokoi, Kento Mori, Tsuyoshi Ito, Shuichi Kitada, Toshihiko Goto and 3 more

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Takaaki FujiiGeneral Education and Clinical Research Center Nagoya City University Hospital Nagoya Japan.
Sayuri YamabeDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.ORCID https://orcid.org/0000-0002-1389-0423
Yoshiro TsurutaDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Yu KawadaDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Tatsuya MizoguchiDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Masashi YokoiDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.ORCID https://orcid.org/0000-0002-4952-9568
Kento MoriDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Tsuyoshi ItoDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Shuichi KitadaDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Toshihiko GotoDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.
Shigefumi FukuiDepartment of Cardiology Fujita Health University School of Medicine Toyoake City Japan.
Hideo IzawaDepartment of Cardiology Fujita Health University School of Medicine Toyoake City Japan.
Yoshihiro SeoDepartment of Cardiology Graduate School of Medical Sciences, Nagoya City University Nagoya Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a case of a 51-year-old woman with atrial septal defect (ASD) masked by pulmonary arterial hypertension (PAH). Three months after PAH treatment with a combination of endothelin receptor antagonist and phosphodiesterase five inhibitor, the transthoracic echocardiography revealed left-to-right shunting through a secundum ASD. The pulmonary vascular resistance decreased from 7.4 to 2.6 Wood units. Subsequent transcatheter closure of ASD using Occlutech Figulla Flex II device was successfully performed as a treat-and-repair strategy. Five months later, hemodynamics had normalized. Due to reduced shunt flow caused by PAH, ASD may not be detectable before treatment, so care must be taken not to overlook PAH associated with intracardiac defects.

Indexed as

adult congenital heart diseaseatrial septal defectechocardiographypercutaneous shunt closurepulmonary hypertension

Identifiers

PMID41476803
PMCPMC12753189

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.