Device closure of a secundum atrial septal defect in a 4-month-old infant with a marginal left ventricle following coarctation repair.
A male infant presented at birth with severe coarctation of the aorta and marginal left ventricular and mitral valve dimensions associated with a large secundum atrial septal defect. Following successful arch repair, the left ventricle remained small with preferential left-to-right atrial shunting and a dilated right ventricle. Clinically, the infant continued with tachypnea, poor feeding, and failure to thrive. At 4 months of age, the defect was closed with an Amplatzer Atrial Septal Occluder which resulted in immediate left ventricular cavity enlargement and clinical improvement.
Jean-St-Michel
Emilie
E
McGill University, Faculty of Medicine, Montreal, Quebec, Canada.
Hosking
Martin Charles Kenneth
MC
Potts
James Edward
JE
Sandor
George Gabor Stephen
GG
D001017:Aortic Coarctation / Q000150:complications* / Q000601:surgery; D006328:Cardiac Catheterization; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D019919:Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000151:congenital* / Q000175:diagnosis