Document Detail


An aneurysmal interatrial septum with a patent foramen ovale and multiple fenestrations closed by a single occluder device.
MedLine Citation:
PMID:  23275290     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The patent foramen ovale (PFO) usually is a very small potential opening in the atrial septum. Under the conditions of normal hemodynamics with higher left atrial than right atrial pressures, the septum primum is forced against the foramen by the higher left atrial pressure and there is no actual persistent opening through the foramen. However, with any, even transient, increase in right atrial pressure this flap or "valve" can be pushed away from the septum and forced open. This results in the shunting of blood and anything else in the right atrium from the right atrium to the left atrium. Often the "valve" of the foramen becomes redundant and develops an "aneurysm" of the atrial septum. A large, redundant septum primum can have several additional openings or "fenestrations" in it. The PFO is now can be treated by interventional percutaneous therapy. This case represents a 24-year-old male with an aneurysmal interatrial septum and patent foramen ovale associated with multiple fenestrations. The defects were closed by a single Amplatzer® septal occluder.
Authors:
Shokoufeh Hajsadeghi; Mitra Chitsazan; Mohammad Namazi; Mandana Chitsazan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Iranica     Volume:  50     ISSN:  1735-9694     ISO Abbreviation:  Acta Med Iran     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-12-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  14540050R     Medline TA:  Acta Med Iran     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  713-6     Citation Subset:  IM    
Affiliation:
Department of cardiology, Rasoul-e-Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
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