title: Use of the Amplatzer ASD Occluder for closing a persistent left vertical vein.
abstract: We report the case of a very large anomalous connection of the veins draining the upper lobe of the left lung to both the left-sided vertical vein and the left atrium, associated with mild rheumatic mitral valve stenosis, in which the atrial septum was intact and the remaining venous system, including the coronary sinus, was otherwise normal (a variant of Lutembacher's syndrome). In order to abolish the left-to-right shunting, a transcatheter approach to close this venous structure was successfully attempted using an Amplatzer ASD Occluder device. The technical aspects and the alternative options of performing a procedure with a device for a purpose outside the scope of its approved label are discussed.
authors.affiliation: Dipartimento di Malattie Cardiovascolari, Ospedale Civile, Via Riva Ospedale, Cittadella, Padova, 35013, Italy. emodinacit@ulss15.pd.it
authors.forename: Mario
authors.initials: M
authors.lastname: Zanchetta
authors.forename: Marco
authors.initials: M
authors.lastname: Zennaro
authors.forename: Roberto
authors.initials: R
authors.lastname: Zecchel
authors.forename: Daniela
authors.initials: D
authors.lastname: Mancuso
authors.forename: Luigi
authors.initials: L
authors.lastname: Pedon
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D015897:Comorbidity; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000628:therapy*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008185:Lutembacher Syndrome / Q000175:diagnosis / Q000628:therapy*; D011667:Pulmonary Veins / Q000002:abnormalities*