Transcatheter diagnosis and intervention for iatrogenic right-to-left shunts decades after surgical repair of partial anomalous pulmonary veins and an atrial septal defect

Abhay Divekar; Jill Morriss; Benjamin Reinking; Heather L Bartlett

doi:10.1007/s00246-009-9487-1

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Transcatheter diagnosis and intervention for iatrogenic right-to-left shunts decades after surgical repair of partial anomalous pulmonary veins and an atrial septal defect

Journal article

Peer reviewed

Transcatheter diagnosis and intervention for iatrogenic right-to-left shunts decades after surgical repair of partial anomalous pulmonary veins and an atrial septal defect

Abhay Divekar, Jill Morriss, Benjamin Reinking and Heather L Bartlett

Pediatric cardiology, Vol.30(8), pp.1150-1153

11/2009

DOI: 10.1007/s00246-009-9487-1

PMID: 19609596

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Abstract

A 57-year-old man presented with symptomatic right-to-left shunts decades after surgical closure of an atrial septal defect and partial anomalous pulmonary veins. Two sources of shunting were identified: a baffle leak from the right superior vena cava (RSVC) to the left atrium secondary to complete occlusion of the RSVC-to-right atrium connection and an acquired previously unpublished coronary sinus to the left atrial shunt secondary to inadvertent closure of the coronary sinus. The diagnosis and transcatheter management of these unusual right-to-left shunts are reported.

Angioplasty, Balloon

Cardiac Surgical Procedures - adverse effects

Cardiovascular Abnormalities - diagnosis

Cardiovascular Abnormalities - etiology

Cardiovascular Abnormalities - surgery

Coronary Angiography

Coronary Vessel Anomalies - surgery

Heart Atria

Heart Septal Defects, Atrial - surgery

Humans

Iatrogenic Disease

Male

Middle Aged

Pulmonary Veins - abnormalities

Pulmonary Veins - surgery

Time Factors

Vena Cava, Superior - abnormalities

Details

Title: Subtitle: Transcatheter diagnosis and intervention for iatrogenic right-to-left shunts decades after surgical repair of partial anomalous pulmonary veins and an atrial septal defect
Creators: Abhay Divekar - University of Iowa Stead Family Children’s Hospital
Jill Morriss - University of Iowa
Benjamin Reinking - University of Iowa
Heather L Bartlett - University of Iowa
Resource Type: Journal article
Publication Details: Pediatric cardiology, Vol.30(8), pp.1150-1153
DOI: 10.1007/s00246-009-9487-1
PMID: 19609596
ISSN: 0172-0643
eISSN: 1432-1971
Language: English
Date published: 11/2009
Academic Unit: Cardiology; Stead Family Department of Pediatrics
Record Identifier: 9984354042702771

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