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Transcatheter Amplatzer duct occluder closure of direct right pulmonary to left atrium communication
Author(s) -
Zanchetta Mario,
Rigatelli Gianluca,
Pedon Luigi,
Zennaro Marco,
Maiolino Pietro,
Onorato Eustaquio
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10383
Subject(s) - medicine , intracardiac injection , paradoxical embolism , cardiology , radiology , left atrium , cardiac catheterization , valsalva maneuver , catheter , pulmonary artery , angiography , patent foramen ovale , atrial fibrillation , percutaneous , blood pressure
Abstract Although rare, a congenital direct communication between pulmonary artery and left atrium can present a paradoxical embolism in adults. In our case, diagnosis was first made on contrast transcranial Doppler with Valsalva maneuver and subsequently confirmed by intracardiac echocardiography and selective pulmonary angiography. Successful catheter‐based closure using Amplatzer duct occluder device resulted in definitive exclusion of the source of paradoxical embolism. Cathet Cardiovasc Intervent 2003;58:107–110. © 2003 Wiley‐Liss, Inc.