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Transcatheter cardiac fistula repair with the Amplatzer Duct Occluder: a case report and review.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Wiley Country of Publication: United States NLM ID: 8907826 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0896-4327 (Print) Linking ISSN: 08964327 NLM ISO Abbreviation: J Interv Cardiol Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2019- : Hoboken, N.J. : Mumbai : Wiley ; Hindawi
      Original Publication: [Mount Kisco, N.Y.] : Futura Pub. Co., [c1988-
    • الموضوع:
      Fistula/*surgery ; Heart Atria/*surgery ; Heart Diseases/*surgery ; Heart Ventricles/*surgery ; Prosthesis Implantation/*methods; Aged, 80 and over ; Cardiac Catheterization/instrumentation ; Echocardiography, Transesophageal ; Female ; Fistula/diagnosis ; Heart Diseases/diagnosis ; Humans ; Prosthesis Implantation/instrumentation
    • نبذة مختصرة :
      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.
    • Number of References:
      11
    • الموضوع:
      Date Created: 20071219 Date Completed: 20080801 Latest Revision: 20121115
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.1111/j.1540-8183.2007.00325.x
    • الرقم المعرف:
      18086134