Transcatheter closure of residual atrial septal defect after cardiac transplantation.
A 55-year-old male patient experienced 2 acute neurologic events 3 weeks after orthotopic cardiac transplantation. Transesophageal echocardiography demonstrated a patent foramen ovale in the native portion of the interatrial septum with bidirectional shunting by Doppler and microbubble contrast. The defect was closed successfully with a CardioSeal transcatheter septal closure device. This case demonstrates the advantages of the percutaneous approach for closure of residual defects in the post-operative patient.
Tampa General Hospital and the University of South Florida, Tampa, Florida, USA. jsullebarger@fci-heart.com
J Thompson
JT
Sullebarger
Stephen W
SW
Mester
Hector L
HL
Fontanet
Joel
J
Strom
Erfan
E
Albakri
William
W
Bugni
David
D
Dray
Kathryn L
KL
Gloer
D006328:Cardiac Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019737:Transplants