Percutaneous Closure of Persistent Atrial Septal Defects After Pulmonary Vein Isolation.
Aged
Atrial Fibrillation
/ diagnosis
Atrial Septum
/ diagnostic imaging
Cardiac Catheterization
/ adverse effects
Cryosurgery
/ adverse effects
Female
Heart Diseases
/ diagnostic imaging
Hemodynamics
Humans
Iatrogenic Disease
Pulmonary Veins
/ physiopathology
Recovery of Function
Septal Occluder Device
Treatment Outcome
Amplatzer
Cryoballoon ablation
Heart failure
Iatrogenic ASD
PVI
Journal
Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
02
07
2018
revised:
15
10
2018
accepted:
18
10
2018
pubmed:
26
12
2018
medline:
23
6
2020
entrez:
25
12
2018
Statut:
ppublish
Résumé
Pulmonary vein isolation (PVI) with radiofrequency or cryoballoon ablation to treat atrial fibrillation requires trans-septal puncture. This creates a small iatrogenic atrial septal defect (iASD). In most patients, the defect spontaneously closes after 3-6 months. However, persistent iASDs can cause hemodynamic changes and adverse consequences from inter-atrial shunting. Persistent post PVI iASDs that are clinically significant can be closed percutaneously. This diagnosis should be considered in patients with worsening dyspnea or fatigue after PVI. We present a case of post PVI iASDs causing immediate or late onset hemodynamic changes and clinical symptoms, which improved after ASD closure. We provide a review of previously reported cases and literature on post PVI ASD prevalence, risk factors and outcomes after ASD closure.
Identifiants
pubmed: 30581089
pii: S1553-8389(18)30460-3
doi: 10.1016/j.carrev.2018.10.020
pii:
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1020-1022Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.