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Rescue treatment by percutaneous closure of interatrial septal defect or PFO in infants with Berlin heart
Author(s) -
Gagliardi Maria Giulia,
Papavasileiou Lida,
Pongiglione Giacomo
Publication year - 2011
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.22800
Subject(s) - medicine , percutaneous , cardiology , closure (psychology) , heart septal defect , economics , market economy
During the past two decades, important progress has been achieved in the treatment of end‐stage congestive heart failure in newborns and infants. The use of ventricular assist devices (VAD) in these patients is now available as a bridge to heart transplantation. The use of a VAD may reveal the presence of a silent interatrial septal defect or a patent foramen ovale (PFO), inducing a right to left shunt resulting in systemic desaturation and hemodynamic instability. We present two cases of low weight infants on circulatory support with VADs and right to left shunt through interatrial septum that were successfully treated by percutaneous intervention with an occlusion device.© 2011 Wiley‐Liss, Inc.