Iatrogenic “aortopulmonary window”: percutaneous rescue closure as a bridge to surgical repair

2015 ◽  
Vol 26 (3) ◽  
pp. 609-611 ◽  
Author(s):  
Davide Marini ◽  
Gaetana Ferraro ◽  
Gabriella Agnoletti
Keyword(s):  
Surgical Repair ◽  
Arterial Switch Operation ◽  
Pulmonary Trunk ◽  
Aortopulmonary Window ◽  
Severe Stenosis ◽  
Severe Scoliosis ◽  
Switch Operation ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
The Right

AbstractWe present the case of a 15-year-old boy who underwent arterial switch operation due to transposition of the great arteries with severe scoliosis, obstruction of the right coronary ostium, and severe stenosis of the pulmonary trunk. Balloon angioplasty caused a large aortopulmonary shunt provoking myocardial ischaemia and pulmonary hypertension. The traumatic “aortopulmonary window” was percutaneously occluded using an Amplatzer Septal Occluder device as a bridge to surgical repair.

scholarly journals Mechanical hemolysis secondary to percutaneous repair of an iatrogenic Gerbode defect with the Amplatzer™ Septal Occluder

2021 ◽  
Vol 29 ◽  
pp. 1-5
Author(s):  
Marcio Costa ◽  
Edgard Quintella ◽  
Leonardo Hadid ◽  
Verônica Nasr ◽  
Maximiliano Lacoste ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Surgical Repair ◽  
Transcatheter Closure ◽  
Transcatheter Occlusion ◽  
Post Procedure ◽  
Septal Occluder Device ◽  
Gerbode Defect ◽  
Occluder Device ◽  
Typical Treatment ◽  
The Right

The Gerbode defect is defined as an abnormal communication between the left ventricle and the right atrium, and is etiologically classified as congenital or acquired (iatrogenic or not). The typical treatment consists of surgical repair of the shunt, but transcatheter occlusion of this condition has proven to be a safe and effective therapeutic alternative for such patients, especially for those with prior surgeries. The aim of this study was to report a case of transcatheter closure of an acquired Gerbode defect, using the Amplatzer™ Septal Occluder device, in a 58-year-old patient, with two prior mitral valve replacements, and the consequent post-procedure mechanical hemolysis.

Cobra head deformity of atrial septal occluder: blessing in disguise

2020 ◽  
pp. 1-2
Author(s):  
Uma Devi Karuru ◽  
Saurabh Kumar Gupta
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Atrial Septum ◽  
Right Atrial ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
The Right

Abstract It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.

scholarly journals Aortopulmonary window due to transcatheter pulmonary valve implantation after arterial switch operation: Where is the limit?

2015 ◽  
Vol 149 (3) ◽  
pp. e38-e39 ◽  
Author(s):  
María-Teresa González-López ◽  
Juan-Miguel Gil-Jaurena ◽  
José-Luis Zunzunegui-Martínez ◽  
Reyes Álvarez-García-Rovés
Keyword(s):  
Pulmonary Valve ◽  
Arterial Switch Operation ◽  
Aortopulmonary Window ◽  
Arterial Switch ◽  
Switch Operation ◽  
Valve Implantation ◽  
Pulmonary Valve Implantation

Percutaneous closure of giant ascending aortic pseudoaneurysm: 22 years after modified BlalockTaussig shunt with a septal occluder device

2021 ◽  
pp. 1-4
Author(s):  
Ikram Massoud ◽  
Atef Yehia
Keyword(s):  
Standard Treatment ◽  
Surgical Repair ◽  
Ascending Aorta ◽  
Stent Grafts ◽  
Fatal Complication ◽  
Aortic Pseudoaneurysm ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
Aortopulmonary Fistula ◽  
Ascending Aortic Pseudoaneurysm

Abstract Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

scholarly journals Aortopulmonary window due to transcatheter pulmonary valve implantation after arterial switch operation

2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
María-Teresa González-López ◽  
Juan-Miguel GilJaurena ◽  
José-Luis Zunzunegui-Martínez ◽  
Reyes álvarez-García-Rovés ◽  
Constancio Medrano-López ◽  
...  
Keyword(s):  
Pulmonary Valve ◽  
Arterial Switch Operation ◽  
Aortopulmonary Window ◽  
Arterial Switch ◽  
Switch Operation ◽  
Valve Implantation ◽  
Pulmonary Valve Implantation

Transposition of the Great Arteries

2018 ◽  
Author(s):  
Andrew T. Waberski ◽  
Nina Deutsch
Keyword(s):  
Neonatal Period ◽  
Arterial Switch Operation ◽  
Anesthetic Management ◽  
Systemic Circulation ◽  
Definitive Treatment ◽  
Cardiac Abnormality ◽  
Hemodynamic Compromise ◽  
Switch Operation ◽  
Complications Of Surgery ◽  
The Right

Transposition of the great arteries is a congenital cardiac abnormality that presents in the neonatal period, most commonly as cyanosis. While variations in anatomic features exist, dextro-transposition of the great arteries, the most common form, results in 2 separate circulatory systems in parallel, such that the right ventricle pumps deoxygenated blood to the systemic circulation, and the left ventricle sends oxygenated blood back to the pulmonary circulation. To ensure survival, early diagnosis and intervention to allow for adequate mixing of blood is necessary. The arterial switch operation is the definitive treatment, usually undertaken in the first few days of life. Known complications of surgery include ischemia, bleeding, hemodynamic compromise, and arrhythmias. Anesthetic management must take these factors into account.

Paediatric coronary artery bypass grafting for coronary hypoperfusion late after arterial switch operation

2011 ◽  
Vol 21 (4) ◽  
pp. 460-461 ◽  
Author(s):  
Farhad Bakhtiary ◽  
Wilfried Bellinghausen ◽  
Martin Kostelka
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Arterial Switch Operation ◽  
Artery Bypass ◽  
Off Pump ◽  
Arterial Switch ◽  
Main Coronary Artery Stenosis ◽  
Switch Operation ◽  
Pump Coronary Artery Bypass ◽  
The Right

AbstractA case of left main coronary artery stenosis is presented in a boy late after an arterial switch operation, with significant ischaemia during exercise with good collateralisation through the right coronary artery. The problem was successfully managed with minimally invasive off-pump coronary artery bypass through median re-sternotomy.

Successful surgical repair of a massive window duct in a 1-month old with aniridia and pulmonary interstitial glycogenosis

2014 ◽  
Vol 25 (3) ◽  
pp. 594-596 ◽  
Author(s):  
Austine K. Siomos ◽  
Max B. Mitchell ◽  
Brian M. Fonseca
Keyword(s):  
Magnetic Resonance Imaging ◽  
Congenital Anomaly ◽  
Magnetic Resonance ◽  
Surgical Management ◽  
Surgical Repair ◽  
Pulmonary Trunk ◽  
Aortopulmonary Window ◽  
Resonance Imaging ◽  
Rare Congenital Anomaly ◽  
Pulmonary Interstitial Glycogenosis

AbstractThe window duct is a rare congenital anomaly that is physiologically similar to an aortopulmonary window but is extrapericardial at the distal pulmonary trunk. The diagnosis is challenging, and surgical management is complex. Our patient is the first and the youngest to be reported with successful closure and diagnosed by magnetic resonance imaging.

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