title: Retrograde use of the Cardioseal/Starflex occluder device.
abstract: The Cardioseal/Starflex septal occluder is usually deployed through a long transvenous sheath for closure of atrial septal defects, persistent foramen ovale, and, less commonly, ventricular septal defects. We describe two patients with residual left-to-right shunting after surgical palliation of congenital heart defects and illustrate the successful use of the double-umbrella device in these situations using a retrograde transarterial approach. This is exemplified by two previously not described interventions: retrograde closure of a large muscular ventricular septal defect in a patient after a palliative Mustard operation and a transcatheter closure of a Waterston-Cooley anastomosis. Effective and safe closure of left-to-right shunting can be achieved by retrograde use of the Cardioseal/Starflex device in selected adolescents and grown-ups with congenital heart disease.
authors.affiliation: Department of Pediatric Cardiology and Pediatric Intensive Care Medicine, Georg-August University Goettingen, Germany. dr.c.jux@medizin.uni-goettingen.de
authors.forename: Christian
authors.initials: C
authors.lastname: Jux
authors.forename: Martin
authors.initials: M
authors.lastname: Schneider
authors.forename: Thomas
authors.initials: T
authors.lastname: Paul
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004864:Equipment and Supplies; D005260:Female; D006330:Heart Defects, Congenital / Q000628:therapy*; D006345:Heart Septal Defects, Ventricular / Q000628:therapy; D006801:Humans; D008297:Male; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000601:surgery / Q000628:therapy