Transient Transcatheter Balloon Closure of Patent Foramen Ovale Following Surgical Repair of Critical Pulmonary Stenosis
| Autor: | Bruno J. Messmer, von Bernuth G, Engelhardt W |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Balloon Heart Septal Defects Atrial Catheterization law.invention Postoperative Complications stomatognathic system law Internal medicine medicine Humans Cardiac catheterization Surgical repair business.industry Anastomosis Surgical Infant Newborn medicine.disease Intensive care unit Shunt (medical) Pulmonary Valve Stenosis Stenosis Pneumothorax Patent foramen ovale Cardiology Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 38:377-378 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-2007-1014056 |
| Popis: | Severe cyanosis resulting from postoperative atrial right-to-left shunt is a life-threatening complication. We present a technique of transient transcatheter balloon closure of a patent foramen ovale in a newborn operated on for critical pulmonary stenosis, where the foramen ovale had been left open intraoperatively. Cardiac catheterization was performed under echocardiographic control in the intensive care unit and the foramen ovale was occluded with a water-filled balloon-catheter. Significant improvement of arterial oxygen tension allowed delayed definitive surgical closure in a second step. Unfortunately, the child developed right-sided pneumothorax postoperatively and died of cardiopulmonary failure. Nevertheless, this procedure seems a suitable way to relieve atrial right-to-left shunt temporarily until definitive surgical closure can be performed. |
| Databáze: | OpenAIRE |
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