title: To close or not to close an atrial septal defect in ischemic cardiomyopathy.
abstract: A 67-year-old male presented with a left ventricular ejection fraction of 21% and an atrial septal defect (ASD), the closure of which carries a risk of worsening the patients' clinical situation. The ASD contributed significantly to heart failure according to NYHA class III to IV, on the other hand. Preconditioning, echocardiographic testing, and test closure were carried out in order to minimize the risk and to finally close the defect successfully in behoof of the patient.
authors: Division of Cardiology, Department of Internal Medicine III, Medical University Innsbruck, Austria. thomas.bartel@i-med.ac.at
authors: Thomas
authors: T
authors: Bartel
authors: Silvana
authors: S
authors: Müller
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000295:instrumentation; D009202:Cardiomyopathies / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D017548:Echocardiography, Transesophageal; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D011237:Predictive Value of Tests; D055989:Septal Occluder Device; D013318:Stroke Volume; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology; D016277:Ventricular Function, Left