Transcatheter closure of atrial septal defects should be deferred in patients with ischemic heart disease requiring percutaneous myocardial revascularization to avoid acute left ventricular failure.
May warrant staging ASD closure after PCI in CAD; single case report leaves open optimal timing.
We report a case of acute left ventricular failure after transcatheter closure of a single secundum atrial septal defect in a 68-year-old man with coronary artery disease. Just before the procedure, two coronary lesions had been treated with direct stenting. Transcatheter closure of atrial septal defects should always be deferred in ischemic heart disease patients who need percutaneous myocardial revascularization.
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Tomai et al. (2001) studied this question.