Nonsurgical closure of a patent foramen ovale in a patient with carcinoid heart disease and severe hypoxia from interatrial shunting.
We report the percutaneous transcatheter closure of a patent foramen ovale using an Amplatzer septal occluder in a rare patient with carcinoid heart disease involving both the right and left heart who presented with severe hypoxemia secondary to intra-atrial shunting. We believe this is the first report of this technique being utilized in a patient with carcinoid heart disease and it may represent an alternative to surgical closure in these patients at high risk for surgical complications.
Marenco
J
J
Division of Cardiology, New England Medical Center Hospitals, Boston, Massachusetts 02111, USA.
Naimi
S
S
Hijazi
Z
Z
Patel
A
A
Pandian
N
N
D002275:Carcinoid Heart Disease / Q000150:complications*; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000503:physiopathology / Q000628:therapy*; D006349:Heart Valve Diseases / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D000860:Hypoxia / Q000150:complications* / Q000503:physiopathology; D008875:Middle Aged; D019736:Prostheses and Implants; D018608:Ultrasonography, Doppler