Early percutaneous closure of iatrogenic cardiac defects following multiple valvular surgery with direct guidewire support is a potentially curative technique with demonstrable clinical improvements

Yeow, Wen–Loong; Nangrahary, M.

doi:10.1016/j.ijcard.2016.03.030

Cited by 1 publication

(2 citation statements)

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“…[ 4 ] iASDs with significant bidirectional shunting are associated with worse clinical outcomes. [ 3 , 5 ] This iASD patient presented with symptomatic heart failure, which was the indication for closure. Because an atrial septal incision is routinely required during mitral valve operation, the iASD often has a large size.…”

Section: Discussionmentioning

confidence: 99%

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Transcatheter closure of a huge iatrogenic atrial septal defect

Yang

Li²,

Chen³

et al. 2017

Medicine

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Rationale:Iatrogenic atrial septal defects caused by cardiac surgery are rare complications that are traditionally repaired through reoperations; unfortunately, reoperations are accompanied by high risk and trauma.Patient concerns:Herein, we report a rare case of a huge atrial septal defect after mitral and aortic mechanical valve replacement.Diagnoses:Transesophageal echocardiography revealed a 20 × 33 mm atrial septal defect with a mainly left-to-right shunt and bidirectional shunt.Interventions:The defect was successfully occluded using a Shape Memory septal occlude with a waist diameter of 42 mm.Outcomes:At follow-up 6 months after, the patient's symptoms were remarkably relieved and chest radiograph showed obvious improvement of the pulmonary congestion.Lessons:Percutaneous device treatment can be used as an alternative to surgery in iatrogenic atrial septal defects if the anatomical condition of the septal defect is appropriate for transcatheter closure.

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Section: Discussionmentioning

confidence: 99%

“…[ 1 , 2 ] Reoperation is the usual option for repair of iASDs, but is associated with increased risk and trauma. [ 3 ] Here we report a case of a huge iASD after heart valve replacement surgery, which was successfully closed using a percutaneous device.…”

Section: Introductionmentioning

confidence: 99%