Document Detail

Transcatheter cardiac fistula repair with the Amplatzer Duct Occluder: a case report and review.
MedLine Citation:
PMID:  18086134     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Clinically significant cardiac fistulas occur rarely and traditionally are surgically repaired. We describe the first known case of percutaneous closure of a left ventricular outflow tract (LVOT) to left atrium (LA) fistula formed as the result of aortic valve replacement surgery. CASE REPORT: The patient was an 86-year-old woman with a history of aortic valve replacement who began complaining of shortness of breath 7 years later. Initially she was misdiagnosed as having mitral regurgitation. However, a transesophageal echocardiography (TEE) showed the presence of a 7.5 mm fistula between her LVOT and LA, producing a large regurgitant jet. As she was not a good surgical candidate, she underwent percutaneous closure. An Amplatzer Duct Occluder 9-PDA-006 (10 mm x 8 mm) device was successfully deployed in the fistula using TEE guidance. On follow-up, the patient described marked improvement of her symptoms. DISCUSSION: In the rare case of cardiac fistulas that are deemed high risk for surgical intervention, a percutaneous approach with an occlusive device offers promise in treating these patients.
Ahmad M Slim; Pramod Sanghi; Eric A Shry; Laudino Castillo-Rojas; Jorge Alvarez; Antonio Hernandez; William C Conner; John Erikson; Steven R Bailey
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-12-11
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  21     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-20     Completed Date:  2008-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  260-4     Citation Subset:  IM    
Cardiology Service, Brooke Army Medical Center, San Antonio, TX 78234-6200, USA.
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MeSH Terms
Aged, 80 and over
Echocardiography, Transesophageal
Fistula / diagnosis,  surgery*
Heart Atria / surgery*
Heart Catheterization / instrumentation
Heart Diseases / diagnosis,  surgery*
Heart Ventricles / surgery*
Prosthesis Implantation / instrumentation,  methods*

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