Document Detail

Coil-Occlusion of the left ventricle as emergency treatment in failing stage-i palliation for hypoplastic left heart syndrome with sinusoids.
MedLine Citation:
PMID:  22431233     Owner:  NLM     Status:  Publisher    
We report on a patient with hypoplastic left heart syndrome, ventricular septal defects and coronary sinusoids who suffered recurrent myocardial ischemic events that required cardiopulmonary resuscitation after stage I palliation. We identified the main reason to be a steal phenomenon of blood from the left coronary artery via the sinusoids into the rudimentary left ventricle and across the septal defects into the right ventricle. To limit this coronary steal phenomenon, we successfully performed transcatheter closure of the left ventricle with implantation of three Microplex Terumo®-Coils. This led to the patient's clinical stabilization. Stage-II surgery took place at the age of 5 months without difficulty. In the setting of a symptomatic neonate with hypoplastic left heart syndrome and ventriculocoronary connections, embolization of the left ventricle is a feasible interventional therapy. © 2012 Wiley Periodicals, Inc.
J Hummel; B Stiller; J Grohmann
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-16
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Department of Paediatric Cardiology/CHD, University Hospital Freiburg, Freiburg, Germany.
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