The Amplatzer duct occluder can be used as a novel percutaneous approach to close a left ventricular-to-right atrial fistula following mitral valve surgery.
May enable percutaneous LV-RA fistula closure with Amplatzer duct occluder after mitral surgery; leaves open need for confirmatory trials.
A 70-year-old female with a history of rheumatic heart disease underwent rereplacement of mitral valve mechanical prosthesis in May 2003. Seven months later, she presented with progressive exertional dyspnea, exercise intolerance, and a new holosystolic/diastolic murmur. Echocardiography confirmed a large shunt through a fistula in the inferior limbus of the atrial septum with left ventricular-to-right atrial communication. We report the novel use of the Amplatzer duct occluder for closure of the fistulous tract.
No takes yet. Share an insight, caveat, or question.
Cabalka et al. (2005) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: