Percutaneous closure of an iatrogenic atrial septal defect

James P. Sur; Francis D. Pagani; Mauro Moscucci

doi:10.1002/ccd.21768

Percutaneous closure of an iatrogenic atrial septal defect

James P. Sur, Francis D. Pagani, Mauro Moscucci

Medicine

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

The use of the Tandem Heart™ percutaneous ventricular assist device (Tandem Heart pVAD, Cardiac Assist technologies, Pittsburgh, PA) as a bridge to recovery or to other cardiopulmonary support systems has been rising. One requirement for placement of this device is an intraatrial septostomy which is usually closed during the surgical insertion of more permanent ventricular assist devices. We present a case of a 62-year-old man with a residual acquired atrial septal defect (ASD) from Tandem Heart™ placement, which could not be closed surgically during insertion of left and right ventricular assist devices. The patient remained intubated and hypoxemic after removal of his right ventricular assist device due to the presence of persistent right to left shunting. With closure of the ASD using an 8-mm Amplatzer® septal occluder (ASO; AGA Medical Corp., Golden Valley, MN) the patient stabilized and was successfully extubated.

Original language	English (US)
Pages (from-to)	267-271
Number of pages	5
Journal	Catheterization and Cardiovascular Interventions
Volume	73
Issue number	2
DOIs	https://doi.org/10.1002/ccd.21768
State	Published - 2009

Keywords

Amplatzer®
ASD
LVAD
Peripheral interventions
RVAD
Tandem heart™

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Radiology Nuclear Medicine and imaging

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abstract = "The use of the Tandem Heart{\texttrademark} percutaneous ventricular assist device (Tandem Heart pVAD, Cardiac Assist technologies, Pittsburgh, PA) as a bridge to recovery or to other cardiopulmonary support systems has been rising. One requirement for placement of this device is an intraatrial septostomy which is usually closed during the surgical insertion of more permanent ventricular assist devices. We present a case of a 62-year-old man with a residual acquired atrial septal defect (ASD) from Tandem Heart{\texttrademark} placement, which could not be closed surgically during insertion of left and right ventricular assist devices. The patient remained intubated and hypoxemic after removal of his right ventricular assist device due to the presence of persistent right to left shunting. With closure of the ASD using an 8-mm Amplatzer{\textregistered} septal occluder (ASO; AGA Medical Corp., Golden Valley, MN) the patient stabilized and was successfully extubated.",

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Percutaneous closure of an iatrogenic atrial septal defect

Abstract

Keywords

ASJC Scopus subject areas

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