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Fenestration of a Gore Helex Septal Occluder device in a patient with diastolic dysfunction of the left ventricle
Author(s) -
Kenny Damien,
Cao QiLing,
Hijazi Ziyad M.
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.23009
Subject(s) - medicine , septum secundum , cardiology , fenestration , ventricle , shunt (medical) , diastole , left atrium , decompression , heart septal defect , occlusion , surgery , blood pressure , atrial fibrillation
We report successful deployment of a fenestrated Helex Septal Occluder in a 46‐year‐old lady with a moderate‐sized secundum atrial septal defect and elevated left‐ventricular end diastolic pressure secondary to renovascular hypertension. Initial balloon occlusion of the defect lead to significant rise in left atrial pressure. Creation of a 4‐mm fenestration offered controlled decompression of the left atrium while reducing the atrial shunt considerably. © 2011 Wiley‐Liss, Inc.