Transcatheter Cardiac Fistula Repair with the Amplatzer Duct Occluder: A Case Report and Review
Background: Clinically significant cardiac fistulas occur rarely and traditionally are surgically repaired. We describe the first known case of percutaneous closure of a left ventricular outflow tract (LVOT) to left atrium (LA) fistula formed as the result of aortic valve replacement surgery. Case r...
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| Veröffentlicht in: | Journal of interventional cardiology 2008-06, Vol.21 (3), p.260-264 |
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| container_title | Journal of interventional cardiology |
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| creator | SLIM, AHMAD M. SANGHI, PRAMOD SHRY, ERIC A. CASTILLO-ROJAS, LAUDINO ALVAREZ, JORGE HERNANDEZ, ANTONIO CONNER, WILLIAM C. ERIKSON, JOHN BAILEY, STEVEN R. |
| description | Background: Clinically significant cardiac fistulas occur rarely and traditionally are surgically repaired. We describe the first known case of percutaneous closure of a left ventricular outflow tract (LVOT) to left atrium (LA) fistula formed as the result of aortic valve replacement surgery.
Case report: The patient was an 86‐year‐old woman with a history of aortic valve replacement who began complaining of shortness of breath 7 years later. Initially she was misdiagnosed as having mitral regurgitation. However, a transesophageal echocardiography (TEE) showed the presence of a 7.5 mm fistula between her LVOT and LA, producing a large regurgitant jet. As she was not a good surgical candidate, she underwent percutaneous closure. An Amplatzer Duct Occluder 9‐PDA‐006 (10 mm × 8 mm) device was successfully deployed in the fistula using TEE guidance. On follow‐up, the patient described marked improvement of her symptoms.
Discussion: In the rare case of cardiac fistulas that are deemed high risk for surgical intervention, a percutaneous approach with an occlusive device offers promise in treating these patients. |
| doi_str_mv | 10.1111/j.1540-8183.2007.00325.x |
| format | Article |
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Case report: The patient was an 86‐year‐old woman with a history of aortic valve replacement who began complaining of shortness of breath 7 years later. Initially she was misdiagnosed as having mitral regurgitation. However, a transesophageal echocardiography (TEE) showed the presence of a 7.5 mm fistula between her LVOT and LA, producing a large regurgitant jet. As she was not a good surgical candidate, she underwent percutaneous closure. An Amplatzer Duct Occluder 9‐PDA‐006 (10 mm × 8 mm) device was successfully deployed in the fistula using TEE guidance. On follow‐up, the patient described marked improvement of her symptoms.
Discussion: In the rare case of cardiac fistulas that are deemed high risk for surgical intervention, a percutaneous approach with an occlusive device offers promise in treating these patients.</description><identifier>ISSN: 0896-4327</identifier><identifier>EISSN: 1540-8183</identifier><identifier>DOI: 10.1111/j.1540-8183.2007.00325.x</identifier><identifier>PMID: 18086134</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Aged, 80 and over ; Cardiac Catheterization - instrumentation ; Echocardiography, Transesophageal ; Female ; Fistula - diagnosis ; Fistula - surgery ; Heart Atria - surgery ; Heart Diseases - diagnosis ; Heart Diseases - surgery ; Heart Ventricles - surgery ; Humans ; Prosthesis Implantation - instrumentation ; Prosthesis Implantation - methods</subject><ispartof>Journal of interventional cardiology, 2008-06, Vol.21 (3), p.260-264</ispartof><rights>2007, the Authors Journal compilation ©2008, Blackwell Publishing, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4055-82fd30ff079554045efd06997a1c6914ff19967b29bab75225464c6494a7c64b3</citedby><cites>FETCH-LOGICAL-c4055-82fd30ff079554045efd06997a1c6914ff19967b29bab75225464c6494a7c64b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18086134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SLIM, AHMAD M.</creatorcontrib><creatorcontrib>SANGHI, PRAMOD</creatorcontrib><creatorcontrib>SHRY, ERIC A.</creatorcontrib><creatorcontrib>CASTILLO-ROJAS, LAUDINO</creatorcontrib><creatorcontrib>ALVAREZ, JORGE</creatorcontrib><creatorcontrib>HERNANDEZ, ANTONIO</creatorcontrib><creatorcontrib>CONNER, WILLIAM C.</creatorcontrib><creatorcontrib>ERIKSON, JOHN</creatorcontrib><creatorcontrib>BAILEY, STEVEN R.</creatorcontrib><title>Transcatheter Cardiac Fistula Repair with the Amplatzer Duct Occluder: A Case Report and Review</title><title>Journal of interventional cardiology</title><addtitle>J Interv Cardiol</addtitle><description>Background: Clinically significant cardiac fistulas occur rarely and traditionally are surgically repaired. We describe the first known case of percutaneous closure of a left ventricular outflow tract (LVOT) to left atrium (LA) fistula formed as the result of aortic valve replacement surgery.
Case report: The patient was an 86‐year‐old woman with a history of aortic valve replacement who began complaining of shortness of breath 7 years later. Initially she was misdiagnosed as having mitral regurgitation. However, a transesophageal echocardiography (TEE) showed the presence of a 7.5 mm fistula between her LVOT and LA, producing a large regurgitant jet. As she was not a good surgical candidate, she underwent percutaneous closure. An Amplatzer Duct Occluder 9‐PDA‐006 (10 mm × 8 mm) device was successfully deployed in the fistula using TEE guidance. On follow‐up, the patient described marked improvement of her symptoms.
Discussion: In the rare case of cardiac fistulas that are deemed high risk for surgical intervention, a percutaneous approach with an occlusive device offers promise in treating these patients.</description><subject>Aged, 80 and over</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Echocardiography, Transesophageal</subject><subject>Female</subject><subject>Fistula - diagnosis</subject><subject>Fistula - surgery</subject><subject>Heart Atria - surgery</subject><subject>Heart Diseases - diagnosis</subject><subject>Heart Diseases - surgery</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>Prosthesis Implantation - instrumentation</subject><subject>Prosthesis Implantation - methods</subject><issn>0896-4327</issn><issn>1540-8183</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P3DAQhi1EBQvtX0A-9Zbgb8dIPSxboFSIlcqiSlxGjuOILNmP2gm79NfX6a7otb7MSH7eGftBCFOS03TO5zmVgmQFLXjOCNE5IZzJfHuARu8Xh2hECqMywZk-RicxzglhREp2hI5pQQpFuRghmAW7jM52z77zAU9sqBrr8HUTu761-Idf2ybgTdM944Tg8WLd2u53Ir_2rsNT59q-8uECj1M0-oFfhQ7bZZXa18ZvPqIPtW2j_7Svp-jx-mo2-ZbdTW9uJ-O7zIn0pqxgdcVJXRNtZPqAkL6uiDJGW-qUoaKuqTFKl8yUttSSMSmUcEoYYXUqJT9Fn3dz12H1q_exg0UTnW9bu_SrPoImWuhCmAQWO9CFVYzB17AOzcKGN6AEBrkwh8EhDA5hkAt_5cI2Rc_2O_py4at_wb3NBHzZAZum9W__PRi-T28nqUv5bJdP9v32PW_DCyjNtYSf9zeg6MPT5f2Mw4z_AVFnlfk</recordid><startdate>200806</startdate><enddate>200806</enddate><creator>SLIM, AHMAD M.</creator><creator>SANGHI, PRAMOD</creator><creator>SHRY, ERIC A.</creator><creator>CASTILLO-ROJAS, LAUDINO</creator><creator>ALVAREZ, JORGE</creator><creator>HERNANDEZ, ANTONIO</creator><creator>CONNER, WILLIAM C.</creator><creator>ERIKSON, JOHN</creator><creator>BAILEY, STEVEN R.</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200806</creationdate><title>Transcatheter Cardiac Fistula Repair with the Amplatzer Duct Occluder: A Case Report and Review</title><author>SLIM, AHMAD M. ; SANGHI, PRAMOD ; SHRY, ERIC A. ; CASTILLO-ROJAS, LAUDINO ; ALVAREZ, JORGE ; HERNANDEZ, ANTONIO ; CONNER, WILLIAM C. ; ERIKSON, JOHN ; BAILEY, STEVEN R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4055-82fd30ff079554045efd06997a1c6914ff19967b29bab75225464c6494a7c64b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged, 80 and over</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Echocardiography, Transesophageal</topic><topic>Female</topic><topic>Fistula - diagnosis</topic><topic>Fistula - surgery</topic><topic>Heart Atria - surgery</topic><topic>Heart Diseases - diagnosis</topic><topic>Heart Diseases - surgery</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Prosthesis Implantation - instrumentation</topic><topic>Prosthesis Implantation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SLIM, AHMAD M.</creatorcontrib><creatorcontrib>SANGHI, PRAMOD</creatorcontrib><creatorcontrib>SHRY, ERIC A.</creatorcontrib><creatorcontrib>CASTILLO-ROJAS, LAUDINO</creatorcontrib><creatorcontrib>ALVAREZ, JORGE</creatorcontrib><creatorcontrib>HERNANDEZ, ANTONIO</creatorcontrib><creatorcontrib>CONNER, WILLIAM C.</creatorcontrib><creatorcontrib>ERIKSON, JOHN</creatorcontrib><creatorcontrib>BAILEY, STEVEN R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of interventional cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SLIM, AHMAD M.</au><au>SANGHI, PRAMOD</au><au>SHRY, ERIC A.</au><au>CASTILLO-ROJAS, LAUDINO</au><au>ALVAREZ, JORGE</au><au>HERNANDEZ, ANTONIO</au><au>CONNER, WILLIAM C.</au><au>ERIKSON, JOHN</au><au>BAILEY, STEVEN R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter Cardiac Fistula Repair with the Amplatzer Duct Occluder: A Case Report and Review</atitle><jtitle>Journal of interventional cardiology</jtitle><addtitle>J Interv Cardiol</addtitle><date>2008-06</date><risdate>2008</risdate><volume>21</volume><issue>3</issue><spage>260</spage><epage>264</epage><pages>260-264</pages><issn>0896-4327</issn><eissn>1540-8183</eissn><abstract>Background: Clinically significant cardiac fistulas occur rarely and traditionally are surgically repaired. We describe the first known case of percutaneous closure of a left ventricular outflow tract (LVOT) to left atrium (LA) fistula formed as the result of aortic valve replacement surgery.
Case report: The patient was an 86‐year‐old woman with a history of aortic valve replacement who began complaining of shortness of breath 7 years later. Initially she was misdiagnosed as having mitral regurgitation. However, a transesophageal echocardiography (TEE) showed the presence of a 7.5 mm fistula between her LVOT and LA, producing a large regurgitant jet. As she was not a good surgical candidate, she underwent percutaneous closure. An Amplatzer Duct Occluder 9‐PDA‐006 (10 mm × 8 mm) device was successfully deployed in the fistula using TEE guidance. On follow‐up, the patient described marked improvement of her symptoms.
Discussion: In the rare case of cardiac fistulas that are deemed high risk for surgical intervention, a percutaneous approach with an occlusive device offers promise in treating these patients.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>18086134</pmid><doi>10.1111/j.1540-8183.2007.00325.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged, 80 and over Cardiac Catheterization - instrumentation Echocardiography, Transesophageal Female Fistula - diagnosis Fistula - surgery Heart Atria - surgery Heart Diseases - diagnosis Heart Diseases - surgery Heart Ventricles - surgery Humans Prosthesis Implantation - instrumentation Prosthesis Implantation - methods |
| title | Transcatheter Cardiac Fistula Repair with the Amplatzer Duct Occluder: A Case Report and Review |
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