scholarly journals Right-to-left Shunt via Iatrogenic Atrial Septal Defect Requiring Emergency Surgical Repair following Cryoballoon Atrial Fibrillation Ablation in a Patient with Arrhythmogenic Right Ventricular Cardiomyopathy

2022 ◽  
Author(s):  
Ryohsuke Narui ◽  
Seigo Yamashita ◽  
Michio Yoshitake ◽  
Tomohisa Nagoshi ◽  
Takashi Kunihara ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Balloon Catheter ◽  
Atrial Fibrillation Ablation ◽  
Transseptal Puncture ◽  
Ventricular Cardiomyopathy ◽  
Iatrogenic Atrial Septal Defect

An 81-year-old woman with arrhythmogenic right ventricular cardiomyopathy underwent catheter ablation for atrial fibrillation and atrial flutter. Hypoxemia refractory to the administration of oxygen was seen after transseptal puncture. Transthoracic echocardiography revealed right to left shunt via an iatrogenic atrial septal defect (IASD) that was increased by tricuspid regurgitation flow. Her hypoxemia improved after IASD occlusion with the inflation of a venogram balloon catheter. Emergent surgical IASD closure was successfully performed. IASD after transseptal puncture for atrial fibrillation ablation infrequently causes severe complications that require emergent repair.

scholarly journals Large atrial septal defect misdiagnosed as arrhythmogenic right ventricular cardiomyopathy

2019 ◽  
Vol 7 (30) ◽  
pp. 58-62
Author(s):  
Lisa Marie Moore ◽  
Cihan Cevik
Keyword(s):  
Congenital Heart Disease ◽  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Congenital Heart ◽  
Septal Defect ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Secundum Atrial Septal Defect ◽  
Ventricular Cardiomyopathy ◽  
Initial Work ◽  
Work Up

We report on a case of a large ostium secundum atrial septal defect (ASD) that was initially diagnosed as arrhythmogenic right ventricular cardiomyopathy (ARVC). We discuss the initial work up, diagnosis, and treatment of this patient’s ASD and explore how the pathophysiology of ARVC may mimic congenital heart disease where there is a large left-to-right shunt.

Transcatheter closure of atrial septal defect associated with arrhythmogenic right ventricular cardiomyopathy: a case report and literature review

2014 ◽  
Vol 25 (3) ◽  
pp. 403-407
Author(s):  
Haiyan Wang ◽  
Hongyu Ding ◽  
Lei Lei ◽  
Xiaohong Zhang ◽  
Yuling Gong ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Ventricular Arrhythmias ◽  
Septal Defect ◽  
Medical Literature ◽  
Transcatheter Closure ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Interventional Treatment ◽  
Ventricular Cardiomyopathy

AbstractArrhythmogenic right ventricular cardiomyopathy is characterised by progressive, fibrofatty replacement of myocardium, and ventricular arrhythmias, and its prognosis is usually poor. Arrhythmogenic right ventricular cardiomyopathy associated with atrial septal defect is very rare, and this combination may make the diagnosis, treatment, and prognosis difficult. We present a case of a patient with this association who underwent interventional treatment with a septal defect occluder. Transcatheter closure of atrial septal defect in a patient with arrhythmogenic right ventricular cardiomyopathy is hitherto unreported. During a 3-year follow-up he remained relatively stable. We also review the cases reported in the medical literature describing this uncommon association between arrhythmogenic right ventricular cardiomyopathy and atrial septal defect or patent foramen ovale.

Prevalence of atrial arrhythmia in patients with arrhythmogenic right ventricular cardiomyopathy: a systematic review and meta-analysis

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
P Rujirachun ◽  
P Wattanachayakul ◽  
N Charoenngam ◽  
A Winijkul ◽  
P Ungprasert
Keyword(s):  
Atrial Fibrillation ◽  
Cohort Studies ◽  
Right Ventricular ◽  
Atrial Tachycardia ◽  
Arrhythmogenic Right Ventricular Cardiomyopathy ◽  
Meta Analysis ◽  
Atrial Arrhythmia ◽  
Funding Source ◽  
Ventricular Cardiomyopathy ◽  
Pooled Prevalence

Abstract Background and objectives Little is known about atrial involvement in patients with arrhythmogenic right ventricular cardiomyopathy (ARVC). Recent studies have suggested that atrial arrhythmia (AA), including atrial fibrillation (AF), atrial flutter (AFL), and atrial tachycardia (AT), was common among these patients although the reported prevalence varied considerably across the studies. Methods We searched for published articles indexed in MEDLINE and EMBASE databases from inception through Sep 22, 2019 to identify cohort studies of patients with ARVC that described the prevalence of atrial arrhythmia among the participants. The pooled prevalence across studies was calculated. Results A total of 16 cohort studies with 1,986 patients with ARVC were included into this meta-analysis. The pooled prevalence of overall AA among patients with ARVC was 17.9% (95% CI, 13.0%–24.0%; I2 88%), the pooled prevalence of AF of 12.9% (95% CI, 9.6%–17.0%; I2 78%), the pooled prevalence of AFL of 5.9% (95% CI, 3.7%–9.2%; I2 70%), and the pooled prevalence of AT of 7.1% (95% CI, 3.7%–13.0%; I2 49%). Conclusions AA is common among patient with ARVC with the pooled prevalence of approximately 18%, which is substantially higher than the reported prevalence of AA in general population. Funding Acknowledgement Type of funding source: None

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