Staged percutaneous atrial septal defect closure and pulmonic balloon valvuloplasty in an adult with congenital heart disease.
Combined atrial septal defect and pulmonic stenosis, while a common occurrence in children, is relatively uncommon in adults. There is no widely accepted order in which the defects should be corrected. We report a case that highlights the hemodynamics and the technical dilemma of deciding which lesion to correct first.
Vera
Jesus A
JA
Division of Cardiology, University of California, Irvine Medical Center, Orange, California.
Nounou
Majed
M
Division of Cardiology, University of California, Irvine Medical Center, Orange, California.
Kern
Morton
M
Division of Cardiology, University of California, Irvine Medical Center, Orange, California.
D000328:Adult; D006328:Cardiac Catheterization; D002404:Catheterization; D017023:Coronary Angiography; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D013902:Radiography, Thoracic; D016896:Treatment Outcome