Fenestration of a Gore Helex Septal Occluder device in a patient with diastolic dysfunction of the left ventricle

Damien Kenny; Qi-Ling Cao; Ziyad M Hijazi

doi:10.1002/ccd.23009

Fenestration of a Gore Helex Septal Occluder device in a patient with diastolic dysfunction of the left ventricle

Catheter Cardiovasc Interv. 2011 Oct 1;78(4):594-8. doi: 10.1002/ccd.23009. Epub 2011 Mar 7.

Authors

Damien Kenny¹, Qi-Ling Cao, Ziyad M Hijazi

Affiliation

¹ Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, Chicago, Illinois, USA.

PMID: 21384502
DOI: 10.1002/ccd.23009

Abstract

We report successful deployment of a fenestrated Helex Septal Occluder in a 46-year-old lady with a moderate-sized secundum atrial septal defect and elevated left-ventricular end diastolic pressure secondary to renovascular hypertension. Initial balloon occlusion of the defect lead to significant rise in left atrial pressure. Creation of a 4-mm fenestration offered controlled decompression of the left atrium while reducing the atrial shunt considerably.

Publication types

Case Reports

MeSH terms

Atrial Function, Left
Cardiac Catheterization / instrumentation*
Diastole
Echocardiography, Doppler, Color
Female
Heart Septal Defects, Atrial / complications
Heart Septal Defects, Atrial / diagnosis
Heart Septal Defects, Atrial / physiopathology
Heart Septal Defects, Atrial / therapy*
Hemodynamics
Humans
Hypertension, Renovascular / complications*
Hypertension, Renovascular / physiopathology
Middle Aged
Prosthesis Design
Septal Occluder Device*
Treatment Outcome
Ventricular Dysfunction, Left / diagnosis
Ventricular Dysfunction, Left / etiology*
Ventricular Dysfunction, Left / physiopathology
Ventricular Function, Left*