Document Detail

Cardioversion corrects cardiac arrhythmia and reverts the resultant reversed shunt flow direction during transcatheter closure of atrial septal defect--a case report.
MedLine Citation:
PMID:  16623406     Owner:  NLM     Status:  MEDLINE    
Closure of atrial septal defect (ASD) is critically dependent on the shunt flow direction. However, shunt flow direction through ASD may change under variable clinical conditions. We present here a 53-year-old woman with a confirmed left-to-right shunt ASD prior to Amplatzer Septal Occluder placement. The development of atrial flutter during the procedure had been found to change the shunt from unidirectional to bidirectional and the procedure was then forced to a temporary halt. The cardiac arrhythmia and altered shunt direction simultaneously reverted to the old state after cardioversion. A successful placement of Amplatzer septal occluder was successfully performed afterward and she recovered uneventfully.
Chia-Chan Wu; Ya-Jung Cheng; Chung-Kun Hui; Hsing-Hao Huang; Wei-Zen Sun; Chih-Peng Lin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  44     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-20     Completed Date:  2006-05-25     Revised Date:  2008-04-07    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  35-7     Citation Subset:  IM    
Department of Anesthesiology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan, ROC.
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MeSH Terms
Atrial Flutter / etiology,  therapy*
Echocardiography, Transesophageal
Electric Countershock*
Heart Failure / complications
Heart Septal Defects, Atrial / complications,  surgery*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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