Transcatheter closure of atrial septal defects under echocardiographic guidance without X-ray: initial experiences.

Abstract:

BACKGROUND:Transcatheter closure of atrial septal defects is performed under fluoroscopy, but echocardiography has gained an important role in the procedure. With the new Amplatzer Septal Occluder a device has become available which is easy to implant with minimal fluoroscopy time. We developed an interventional procedure with this device under transesophageal echocardiography alone without fluoroscopy. METHODS AND RESULTS:Four patients (3 to 16 years of age, bodyweight 14 to 60 kg) with atrial septal defects centrally located in the oval fossa were elected for transcatheter closure. After sedation with midazolam and propofol a diagnostic and interventional catheterization was performed in all cases without fluoroscopy. Oxymetric shunt was Qp: Qs = 1.7 (1.5 to 2.1). Under transesophageal echocardiography, the defects were sized over the wire with a balloon catheter. Mean balloon stretched diameter was 10 mm (7 to 14 mm). Under transesophageal echocardiography an Amplatzer Septal Occluder was placed into the defect. In two patients this was achieved with a 5 MHz monoplane pediatric transducer, in two patients a 10mm 5 MHz multiplane probe was used. Complete closure was achieved in all patients and no complications were encountered. CONCLUSION:We conclude that in selected cases with an atrial septal defect located in the oval fossa and clear-cut echocardiographic findings, an Amplatzer Septal Occluder can be safely deployed under echocardiographic guidance alone.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Ewert P,Daehnert I,Berger F,Kaestner A,Krings G,Vogel M,Lange PE

doi

10.1017/s1047951100008349

keywords:

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

136-40

issue

2

eissn

1047-9511

issn

1467-1107

journal_volume

9

pub_type

临床试验,杂志文章
  • Fetal echocardiographic features of twisted atrioventricular connections.

    abstract::We present an example of corrected transposition with twisted discordant atrioventricular connections in which both fetal and postnatal echocardiograms were obtained. We correlate the fetal echocardiograms with the postnatal echocardiograms, placing emphasis on the echocardiographic clues to the diagnosis which were p...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951100009732

    authors: Abdullah M,Yoo SJ,Hornberger L

    更新日期:2000-10-01 00:00:00

  • Rapid formation of collateral arteries in a neonate with interruption of the aortic arch.

    abstract::In a neonate born prior to term with a weight of 1825 grams, and diagnosed prenatally as having atrioventricular septal defect and Down's syndrome, we found the aortic arch to be interrupted between the left carotid artery and the left subclavian artery, with the arterial duct being the only route of distal perfusion....

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951101000622

    authors: Starreveld JS,van Rossum AC,Hruda J

    更新日期:2001-07-01 00:00:00

  • Asymmetrically short tendinous cords causing congenital tricuspid regurgitation: improved understanding of tricuspid valvar dysplasia in the era of color flow echocardiography.

    abstract:BACKGROUND:Tricuspid regurgitation as a manifestation of an isolated congenital anomaly of the tricuspid valve is rare. Cross-sectional and color Doppler echocardiography allow improved evaluation of tricuspid valvar function. As a result, the heterogeneous category of congenital tricuspid valvar dysplasia may be bette...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951100004972

    authors: McElhinney DB,Silverman NH,Brook MM,Hanley FL,Stanger P

    更新日期:1999-05-01 00:00:00

  • Rare cause of cardiac failure in an infant.

    abstract::Congenital stenosis of the pulmonary veins is a rare condition whose outcome is guarded despite the available treatment options. We report a case of a 6-month-old infant with significant stenosis of all four pulmonary veins. ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119000428

    authors: Henriques C,Andrade H,Pires A

    更新日期:2019-05-01 00:00:00

  • Medical and surgical perspectives of cardiac hypertrophy in Costello syndrome.

    abstract::We describe our experience with 2 patients having Costello syndrome, aged 11 and 36 months, who suffered systolic anterior motion of the aortic leaflet of the mitral valve and obstructive cardiac hypertrophy requiring surgery, comparing their cardiac characteristics to those described previously. We conclude that the ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951109991181

    authors: Kalfa D,Fraisse A,Kreitmann B

    更新日期:2009-12-01 00:00:00

  • Usefulness of real-time three-dimensional trans-oesophageal echocardiography for detection of isolated unroofed coronary sinus.

    abstract::We report a case of unroofed coronary sinus not associated with the persistent left superior vena cava. Definite diagnosis of the unroofed coronary sinus was obtained by trans-oesophageal echocardiography, which revealed the unroofed portion with left-to-right shunt. Real-time three-dimensional trans-oesophageal echoc...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113002400

    authors: Nakano Y,Iwamoto M,Masuda M

    更新日期:2015-01-01 00:00:00

  • Normal and abnormal pulmonary arteriovenous shunting: occurrence and mechanisms.

    abstract::Severe cyanosis due to pulmonary arteriovenous fistulas occurs often after a bidirectional superior cavopulmonary anastomosis (Glenn operation) and also in some congenital anomalies in which hepatic venous blood bypasses the lungs in the first passage. Relocation of hepatic flow into the lungs usually causes these fis...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951113000140

    authors: Hoffman JI

    更新日期:2013-10-01 00:00:00

  • Aortic elasticity and carotid intima-media thickness in children with mitral valve prolapse.

    abstract::Aim We aimed to study the dimensions, systolic and diastolic functions of the left ventricle; dimensions and elasticity of the aorta; and carotid intima-media thickness and flow-mediated dilatation of the brachial artery in mitral valve prolapse. METHODS:The study group consisted of 43 patients (mean age=13.3±3.9) an...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951117001950

    authors: Erolu E,Akalın F,Çetiner N,Şaylan Çevik B

    更新日期:2018-02-01 00:00:00

  • Amiodarone-induced pulmonary toxicity in an adolescent.

    abstract::We report amiodarone-induced pulmonary toxicity in an 18-year-old boy who had undergone corrective surgery for tetralogy of Fallot 4 years earlier, and was treated with amiodarone because of recurrent malignant postoperative ventricular tachyarrhythmias. Toxicity was recognized on the basis of clinical features, chest...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951100008441

    authors: Kothari SS,Balijepally S,Taneja K

    更新日期:1999-03-01 00:00:00

  • Time course of appearance of markers of arrhythmia in patients with tetralogy of Fallot before and after surgery.

    abstract::Sudden death and ventricular tachycardia are known to occur late after correction of tetralogy of Fallot. Abnormal dispersion of the QT interval, ventricular late potentials, and prolongation of the QRS complex, alone or in combination, are useful markers of the risk for such complications. Our present prospective stu...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951104004020

    authors: Balkhi RA,Beghetti M,Friedli B

    更新日期:2004-08-01 00:00:00

  • Levoatriocardinal vein in D-transposition of the great arteries.

    abstract::The levoatriocardinal vein is the embryological remnant of the connection between the pulmonary and systemic venous systems. It is a rare lesion that usually occurs in the presence of left-sided obstruction, developing as a pathway for decompression of the pulmonary veins. We report the first case of a levoatriocardin...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951116000652

    authors: Moodley S,Duncan W,Gandhi S

    更新日期:2016-08-01 00:00:00

  • Ebstein's malformation in the setting of Down's syndrome.

    abstract::We report a patient with Down's syndrome referred to our Department of Echocardiography for evaluation after an episode of tachyarrhythmia. We diagnosed Ebstein's malformation. As far as we know, this association has been reported previously on only three occasions. We review these previous cases, describe our echocar...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:

    authors: Bauk L,Espinola-Zavaleta N,Muñoz-Castellanos L

    更新日期:2003-08-01 00:00:00

  • Myocardial ischaemia and valve insufficiency caused by a dysplastic aortic valve cusp: a previously unreported unique morphologic anomaly.

    abstract::Isolated aortic regurgitation and myocardial infarction are a rare congenital defect among neonatal patients. We present a case of a neonate with an unusual aortic valve morphology causing both regurgitation and obstruction of the left coronary artery ostium. Despite both non-invasive and invasive imaging modalities, ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120001377

    authors: Samuel S,Dhanantwari P,Meyer DB

    更新日期:2020-07-01 00:00:00

  • An echocardiographic study of tetralogy of Fallot in the fetus and infant.

    abstract:OBJECTIVE:To document the echocardiographic features of tetralogy of Fallot during fetal and postnatal life. Correlation of echocardiographic findings with the requirement for early intervention prior to definitive repair. DESIGN:Retrospective observational study. SETTING:A tertiary fetal cardiology unit. PATIENTS:F...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:

    authors: Pepas LP,Savis A,Jones A,Sharland GK,Tulloh RM,Simpson JM

    更新日期:2003-06-01 00:00:00

  • Dengue disease in a pediatric patient with severe idiopathic pulmonary hypertension.

    abstract::Dengue virus can affect the heart, with complications as bradycardia, arrhythmias, and death. We present a case of a 15-year-old patient, diagnosed 4 years before with severe idiopathic pulmonary hypertension, confirmed by catheterism, with continuous follow up. At that time, she was living in Bogotá (2640 m above sea...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120004321

    authors: Díaz G,Devia CP,De La Hoz OM

    更新日期:2020-12-14 00:00:00

  • Infective endocarditis in infants and children in the Western Cape, South Africa: a retrospective analysis.

    abstract::Infective endocarditis is a microbial infection of the endothelial surface of the heart, predominantly the heart valves, that is associated with high mortality and morbidity. Few contemporary data exist regarding affected children in our context. AIMS AND OBJECTIVES:We aimed to describe the profile and treatment outc...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1047951119002154

    authors: Willoughby ML,Basera W,Perkins SR,Comitis GAM,Fourie B,Lawrenson JB,Zühlke LJ

    更新日期:2019-10-01 00:00:00

  • An alternative technique for Fontan completion in patients with widely separated connections of the inferior systemic veins to the atrial mass.

    abstract::Several surgical approaches for completion of a total cavopulmonary connection have been established for patients with anomalies of systemic venous connection in association with a functionally univentricular heart. We report an alternative technique designed to address the problem of widely separated inferior systemi...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951116001311

    authors: Pomè G,Ghedira F,Keizman E

    更新日期:2017-03-01 00:00:00

  • Safety and utility of passive peritoneal drainage following Fontan palliation.

    abstract:OBJECTIVE:Placement of peritoneal drainage catheters intra-operatively has been shown to help prevent fluid overload in children recovering from surgery for two-ventricle heart disease. We aimed to determine whether this practice is also helpful in children recovering from Fontan palliation. MATERIAL AND METHODS:A ret...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113000693

    authors: Pitman-Hunt C,Richards KL,Delius RE,Walters HL 3rd,Mastropietro CW

    更新日期:2014-06-01 00:00:00

  • Aortic stenosis after uncomplicated surgical repair of tetralogy of Fallot.

    abstract::Tetralogy of Fallot is only rarely associated with aortic valvar disease. We present a child who had uncomplicated repair of tetralogy of Fallot at 16 months of age, and who developed mild aortic stenosis three years later, with mild to moderate aortic incompetence being seen two years subsequent to that event. No aor...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:

    authors: Galea N,Aquilina O,Grech V

    更新日期:2003-06-01 00:00:00

  • Hybrid closure of a large atrial septal defect using Occlutech Flex II septal occluder in a patient with interrupted inferior caval vein.

    abstract::We present a case of a 31-year-old male with a large atrial septal defect, who was found to have interrupted inferior caval vein with azygous continuation to the superior caval vein, which precluded transcutaneous closure by device. The defect was successfully closed with a 33 mm Occlutech Figula septal occluder using...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795112000092X

    authors: Bani Hani A,Abdullattif M,Al-Ammouri I

    更新日期:2020-06-01 00:00:00

  • Hybrid approach for disconnected pulmonary arteries: never lose a pulmonary artery again!

    abstract::Disconnection of a pulmonary artery needs early surgical treatment in order to support the growth of the vessel. However, owing to the high rate of re-stenosis after traditional surgical reconstruction, we developed a hybrid approach involving the creation of pulmonary artery continuity by using autologous or heterolo...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951118001129

    authors: Butera G,Giusti G,Pomè G

    更新日期:2018-11-01 00:00:00

  • Seasonality in live births with congenital heart disease in Malta.

    abstract::This study was carried out to analyse seasonal variations in live births with congenital heart disease in the overall population of Malta. Included were all patients diagnosed as having congenital heart disease by echocardiography, cardiac catheterization, surgery or post mortem, by 1 year of age, and who were born be...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/s1047951100005205

    authors: Grech V

    更新日期:1999-07-01 00:00:00

  • Gross motor development is delayed following early cardiac surgery.

    abstract:OBJECTIVE:To describe the gross motor development of infants who had undergone cardiac surgery in the neonatal or early infant period. METHODS:Gross motor performance was assessed when infants were 4, 8, 12, and 16 months of age with the Alberta Infant Motor Scale. This scale is a discriminative gross motor outcome me...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951112000121

    authors: Long SH,Harris SR,Eldridge BJ,Galea MP

    更新日期:2012-10-01 00:00:00

  • Increased QT and P-wave dispersion during attack-free period in pediatric patients with migraine attacks.

    abstract:INTRODUCTION:Migraine is a common neurovascular disease characterised with recurrent attacks by pain-free periods. It has been suggested that both sympathetic and parasympathetic dysfunctions play a role in its pathophysiology. AIM:The aim of our study was to investigate the ECG changes during attack-free period in ch...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119000088

    authors: Tosun O,Karatoprak E

    更新日期:2019-04-01 00:00:00

  • Cardiovascular involvement in alpha-n-acetyl neuraminidase deficiency syndromes (sialidosis type I and II).

    abstract::Sialidosis, a rare autosomal recessive disorder, is caused by a deficiency of NEU1 encoded enzyme alpha-N-acetyl neuraminidase. We report a premature male with neonatal-onset type II sialidosis which was associated with left ventricular dysfunction. The clinical presentation and subsequent progression which culminated...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120004953

    authors: Prasanna P,Sriram CS,Rodriguez SH,Kohli U

    更新日期:2021-01-28 00:00:00

  • Endocarditis of a congenital coronary fistula in a child.

    abstract::Endocarditis of congenital coronary fistulas in the cardiac chambers is rare, especially in the paediatric age group. We describe the case of a 9-year-old boy with a fistula from the dilated right coronary artery to the junction of the superior caval vein to the right atrium, complicated by endocarditis. Treatment con...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951117001846

    authors: Krasemann T,van Beynum IM,Frohn-Mulder IME,Dalinghaus M

    更新日期:2018-02-01 00:00:00

  • Three-dimensional echocardiographic evaluation of Ebstein's anomaly of the tricuspid valve in a patient with hypoplastic left heart syndrome.

    abstract::We report three-dimensional imaging of a rare finding of Ebstein's anomaly of the tricuspid valve in a patient with hypoplastic left heart syndrome, which has been previously reported only by two-dimensional echocardiography. A fetal echocardiogram was performed at 19 weeks that showed a moderately hypoplastic left ve...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951118000367

    authors: Cassidy C,Mitchell MB,Jone PN

    更新日期:2018-06-01 00:00:00

  • Duplicated left pulmonary artery: an unknown disease? Three case reports and review of the literature.

    abstract::We report three cases of an abnormal finding of duplicated left pulmonary artery: two of these occurring in children with Kabuki syndrome and configuring the setting of a pseudo-pulmonary sling without any clinical or cardiac cross-sectional evidence of tracheal compression. The other case instead represents duplicate...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951115000281

    authors: Giudici V,Kanani M,Muthialu N,Carr M,Calder AD,Owens CM,Cook AC,Marek J

    更新日期:2016-02-01 00:00:00

  • Plasma adiponectin levels and relations with cytokines in children with acute rheumatic fever.

    abstract:AIM:We aimed to investigate the role of adiponectin in acute rheumatic fever by evaluating correlations with cytokines and acute-phase reactants. METHODS:Patients were divided into three groups by clinical findings. Group 1 included 8 patients with only chorea, Group 2 included 13 patients with arthritis and carditis,...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114001012

    authors: Ozgen H,Ucar B,Yildirim A,Colak O,Bal C,Kilic Z

    更新日期:2015-06-01 00:00:00

  • Not just vegetations: focal myocardial changes in patients with fungal infections.

    abstract:BACKGROUND:Fungal endocarditis classically involves dense heterogenous vegetations. However, several patients with fungal infections were noted to have myocardial changes ranging from focal brightening to nodular thickening of chordae or papillary muscles. This study evaluates whether these findings are associated with...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120003674

    authors: Cresalia NM,Owens ST,Stillwell TL,Norris MD,Yu S,Retzloff L,Ensing GJ

    更新日期:2020-11-13 00:00:00