Surgical implications of atrial septal defect complicating aortic balloon valvuloplasty.
An 80-year-old man underwent percutaneous transluminal balloon valvuloplasty for critical aortic stenosis. The procedure was performed by the antegrade atrial transseptal approach and was complicated by a persistent atrial septal defect. Symptoms recurred 6 months later, restenosis of the aortic valve was confirmed, and the atrial septal defect yielded a substantially greater left-to-right shunt. This complication of percutaneous transluminal balloon valvuloplasty poses important problems in hemodynamic assessment and operative management of patients who undergo subsequent aortic valve replacement.
Department of Surgery, University of Iowa College of Medicine, Iowa City 52242.
J H
JH
Lemmer
M D
MD
Winniford
D W
DW
Ferguson
D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects* / Q000379:methods; D006346:Heart Septum / Q000293:injuries*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D012008:Recurrence