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Rescue treatment by percutaneous closure of interatrial septal defect or PFO in infants with Berlin heart

✍ Scribed by Maria Giulia Gagliardi; Lida Papavasileiou; Giacomo Pongiglione


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
96 KB
Volume
77
Category
Article
ISSN
1522-1946

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✦ Synopsis


Abstract

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.