Fenestration of a Gore Helex Septal Occluder Device in a Patient with Diastolic Dysfunction of the Left Ventricle

被引:8
作者
Kenny, Damien [1 ]
Cao, Qi-Ling [1 ]
Hijazi, Ziyad M. [1 ]
机构
[1] Rush Univ, Med Ctr, Rush Ctr Congenital & Struct Heart Dis, Chicago, IL 60612 USA
关键词
helex; fenestration; ASD; balloon occlusion; CLOSURE; DEFECTS;
D O I
10.1002/ccd.23009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report successful deployment of a fenestrated Helex Septal Occluder in a 46-year-old lady with a moderate-sized secundum atrial septal defect and elevated left-ventricular end diastolic pressure secondary to renovascular hypertension. Initial balloon occlusion of the defect lead to significant rise in left atrial pressure. Creation of a 4-mm fenestration offered controlled decompression of the left atrium while reducing the atrial shunt considerably. (C) 2011 Wiley-Liss, Inc.
引用
收藏
页码:594 / 598
页数:5
相关论文
共 9 条
[1]   LEFT-VENTRICULAR DISTENSIBILITY AND PASSIVE ELASTIC STIFFNESS IN ATRIAL SEPTAL-DEFECT [J].
BOOTH, DC ;
WISENBAUGH, T ;
SMITH, M ;
DEMARIA, AN .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 12 (05) :1231-1236
[2]  
Elshershari H, 2008, J INVASIVE CARDIOL, V20, P173
[3]  
Ewert P, 2001, CATHETER CARDIO INTE, V52, P177, DOI 10.1002/1522-726X(200102)52:2<177::AID-CCD1043>3.0.CO
[4]  
2-G
[5]   Arterial stiffening and vascular calcifications in end-stage renal disease [J].
Guérin, AP ;
London, GM ;
Marchais, SJ ;
Metivier, F .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2000, 15 (07) :1014-1021
[6]   Closure of a moderately large atrial septal defect with a self-fabricated fenestrated amplatzer septal occluder in an 85-year-old patient with reduced diastolic elasticity of the left ventricle [J].
Holzer, R ;
Cao, QL ;
Hijazi, ZM .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2005, 64 (04) :513-518
[7]   Results of the US multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundum atrial septal defects [J].
Jones, Thomas K. ;
Latson, Larry A. ;
Zahn, Evan ;
Fleishman, Craig E. ;
Jacobson, Joth ;
Vincent, Robert ;
Kanter, Kirk .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 49 (22) :2215-2221
[8]   SQUARE ROOT SIGN OF LEFT-VENTRICULAR DIASTOLIC PRESSURE CURVE IN ATRIAL SEPTAL-DEFECT [J].
KITA, Y ;
HIROTA, Y ;
SAITO, T ;
SHIMIZU, G ;
KAKU, K ;
KAWAMURA, K .
JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 1990, 54 (09) :1130-1138
[9]   Shunt Reduction With a Fenestrated Amplatzer Device [J].
Kretschmar, Oliver ;
Sglimbea, Anca ;
Corti, Roberto ;
Knirsch, Walter .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2010, 76 (04) :564-571