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Device closure of a secundum atrial septal defect in a 4-month-old infant with a marginal left ventricle following coarctation repair.

Abstract
A male infant presented at birth with severe coarctation of the aorta and marginal left ventricular and mitral valve dimensions associated with a large secundum atrial septal defect. Following successful arch repair, the left ventricle remained small with preferential left-to-right atrial shunting and a dilated right ventricle. Clinically, the infant continued with tachypnea, poor feeding, and failure to thrive. At 4 months of age, the defect was closed with an Amplatzer Atrial Septal Occluder which resulted in immediate left ventricular cavity enlargement and clinical improvement.
AuthorsEmilie Jean-St-Michel, Martin Charles Kenneth Hosking, James Edward Potts, George Gabor Stephen Sandor
JournalCongenital heart disease (Congenit Heart Dis) Vol. 2 Issue 6 Pg. 442-5 ( 2007) ISSN: 1747-0803 [Electronic] United States
PMID18377440 (Publication Type: Case Reports, Journal Article)
Topics
  • Aortic Coarctation (complications, surgery)
  • Cardiac Catheterization
  • Echocardiography
  • Heart Septal Defects, Atrial (complications, diagnosis, surgery)
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Male
  • Prosthesis Implantation (instrumentation, methods)
  • Ventricular Dysfunction, Left (complications, congenital, diagnosis)

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