| Transcatheter cardiac fistula repair with the Amplatzer Duct Occluder: a case report and review. | |
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MedLine Citation:
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PMID: 18086134 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Case Reports; Journal Article; Review Date: 2007-12-11 |
Journal Detail:
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Title: Journal of interventional cardiology Volume: 21 ISSN: 0896-4327 ISO Abbreviation: J Interv Cardiol Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-20 Completed Date: 2008-08-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8907826 Medline TA: J Interv Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 260-4 Citation Subset: IM |
Affiliation:
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Cardiology Service, Brooke Army Medical Center, San Antonio, TX 78234-6200, USA. Ahmad.Slim@us.army.mil |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Echocardiography, Transesophageal Female Fistula / diagnosis, surgery* Heart Atria / surgery* Heart Catheterization / instrumentation Heart Diseases / diagnosis, surgery* Heart Ventricles / surgery* Humans Prosthesis Implantation / instrumentation, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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