Urgent transcatheter closure of patent foramen ovale followed by elective right-sided valve surgery for decompensated carcinoid heart disease.
The presence of a patent foramen ovale (PFO) is associated with morbidity and mortality in patients with carcinoid heart disease (CHD). We report a 66-year-old male patient with tricuspid and pulmonary valve regurgitation secondary to CHD, who developed severe hypoxia due to a right-to-left shunt through a PFO. A 35 mm Amplatzer septal occluder was deployed to reduce the right-to-left shunt as an urgent procedure. Tricuspid and pulmonary valve replacements were electively performed using ON-X mechanical prostheses (31/33 mm and 19 mm, respectively) 70 days after the percutaneous procedure. Transcatheter closure of a PFO prior to definitive right-sided valve surgery can be a useful treatment for CHD patients with acute haemodynamic derangement.
Hayashi
Yoshitaka
Y
Cardiothoracic Surgery Unit, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria 3168, Australia.
McGaw
David J
DJ
Goldstein
Jacob
J
D000368:Aged; D002275:Carcinoid Heart Disease / Q000150:complications*; D054092:Foramen Ovale, Patent / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation; D011665:Pulmonary Valve Insufficiency / Q000150:complications / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000601:surgery*