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د . احمد سمان

@Ahmed43101178

, 4 tweets, 8 min read

My Authors

16 y with Syncope /differential cyanosis / clubbing

@AlkashkariWail @MasriAhmadMD @CincyACHD @purviparwani @AriCedars @FredWuMD
@PushpaShivaram
#cardiotwitter #whyCMR #echofirst
@RoyalFreeNHS @MayoClinic @ACHDatStanford
@threadreaderapp
@ResearchGate
Approach

PDA Eisenmenger (high risk)
Pulmonary Artery aneurysm(PAP) diameter >40 mm
Echo ( RVH- RVSP 81mmHg)
Sagittal CMRI confirm large PDA (R to L shunt)
Cath/hemodynamics and Acute vasoreactivity test (AVT) confirmed Elevated PVR (Non reactive )
#cardiotwitter

Objectives is Treat To close the PDA (? devise closure) treated with Bosentan and Sildenafil
@ShelbyKuttyMD @LubertMD @Kfarooqi @shubhi_srivas @AchdExpert @sasha_opo @AliZaidiMD @AlexFrogoudaki
@IhabFathiSulima @drsami5566 @mirvatalasnag
#cardiotwitter #whyCMR @CCardiology

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