| Autor: |
Noelia B. Guillén Mendoza, César Abelleira Pardeiro, Enrique J. Balbacid Domingo, Ángela Uceda Galiano, Federico Gutiérrez-Larraya Aguado |
| Jazyk: |
English<br />Spanish; Castilian |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
REC: Interventional Cardiology (English Ed.), Vol 6, Iss 2, Pp 144-146 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2604-7322 |
| DOI: |
10.24875/RECICE.M23000411 |
| Popis: |
We present the case of a 16-year-old girl with a prenatal diagnosis of Ebstein’s anomaly and an atrial septal defect with severe tricuspid regurgitation. In 2020, the patient was referred due to functional deterioration. Surgical repair included the implantation of a 26-mm Contour 3D tricuspid annuloplasty ring (Medtronic, United States) with the cone reconstruction technique and closure of the atrial septal defect. During the postoperative follow-up, the patient developed moderate paravalvular leak lateral to the ring that progressed to severe regurgitation with moderate right ventricular dilatation without dysfunction a year and a half later. The patient experienced no episodes of heart failure until 2 years after surgery. Cardiac catheterization was performed via transjugular and right femoral access under general anesthesia and transesophageal echocardiography guidance, revealing the presence of a 13 mm × 10 mm leak posterolateral to the tricuspid annuloplasty ring that appeared as a 15 mm leak on ventriculography (figure 1). The first closure attempt with a 14-mm Konar MF device (Lifetech, China) did not achieve complete closure or attachment at the defect. Therefore, a second attempt was made with an 18-mm Amplatzer Muscular VSD device (Abbott, United States), which achieved proper attachment and almost complete occlusion (figure 2). After release,... |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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