Document Detail


An arrhythmic storm: a potential complication on opening the umbrella for percutaneous closure of interatrial communications.
MedLine Citation:
PMID:  17884385     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Interatrial communications (ICs) have been linked to paradoxic embolism, which may be prevented using both surgical and percutaneous interventions. The case of a 61-year-old woman with a history of transient cerebral ischemic attack who developed repetitive ventricular arrhythmias and an intermittent left branch bundle block immediately after percutaneous closure of an IC is described. Transthoracic echocardiography showed that the device had migrated into the left ventricular outflow tract, and the patient consequently underwent emergency cardiac surgery to retrieve the device and repair the IC. In conclusion, percutaneous transcatheter closure of ICs is more rapid and less invasive compared with surgery, but nevertheless may be associated with significant short-term morbidity.
Authors:
Michele Coceani; Giulio Zucchelli; Maria Grazia Bongiorni; Andrea Di Cori; Anna Sonia Petronio; Nicola Ciabatti; Carmela Nardi; Antonio Barsotti
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-07-16
Journal Detail:
Title:  The American journal of cardiology     Volume:  100     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-21     Completed Date:  2007-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1181-3     Citation Subset:  AIM; IM    
Affiliation:
Cardiac and Thoracic Department, University of Pisa, Pisa, Italy.
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MeSH Terms
Descriptor/Qualifier:
Bundle-Branch Block / diagnosis,  etiology*
Echocardiography, Transesophageal
Electrocardiography
Embolism, Paradoxical / complications
Female
Heart Catheterization
Heart Septal Defects, Atrial / complications,  surgery*,  ultrasonography
Heart Septum / surgery*
Humans
Ischemic Attack, Transient / etiology
Middle Aged
Prostheses and Implants / adverse effects*
Tachycardia, Ventricular / diagnosis,  etiology*
Treatment Outcome

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


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