Percutaneous closure of an iatrogenic atrial septal defect

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

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish
Pages (from-to)267-271
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume73
Issue number2
DOIs
StatePublished - Feb 26 2009

Fingerprint

Heart-Assist Devices
Atrial Heart Septal Defects
Septal Occluder Device
Technology
Equipment and Supplies

Keywords

  • Amplatzer®
  • ASD
  • LVAD
  • Peripheral interventions
  • RVAD
  • Tandem heart™

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Percutaneous closure of an iatrogenic atrial septal defect. / Sur, James P.; Pagani, Francis D.; Moscucci, Mauro.

In: Catheterization and Cardiovascular Interventions, Vol. 73, No. 2, 26.02.2009, p. 267-271.

Research output: Contribution to journalArticle

Sur, James P. ; Pagani, Francis D. ; Moscucci, Mauro. / Percutaneous closure of an iatrogenic atrial septal defect. In: Catheterization and Cardiovascular Interventions. 2009 ; Vol. 73, No. 2. pp. 267-271.
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