DOAC Perioperative Management — EECC MCQ
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Correct answer: D — Specialist pulmonary-haemodynamic assessment before closure
ASD closure can be harmful when pulmonary vascular disease is advanced or shunting becomes bidirectional. Pulmonary-haemodynamic reassessment, reversibility, exercise response and expert multidisciplinary review are required before considering closure or a treat-and-repair strategy.
Reference: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines