Novel shunt modification with an adjustable stent-embedded “fenestrated” septal occluder in a patient with pulmonary hypertension

Ajay Yadlapati, David F Wax, Stuart Rich, Mark J Ricciardi*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

A 60-year-old woman with progressive dyspnea and cyanosis, O2-dependent pulmonary hypertension despite optimal medical therapy and remote atrial septostomy presented with worsening cyanosis and right-to-left shunting. The creation of a “fenestrated” ASD closure device with the insertion of a peripheral stent through an AMPLATZER™ ASD closure device was deployed to minimize right to left shunting and allow for enlargement of the shunt if needed. This case demonstrates the benefit of diminishing a right to left shunt with a self-fabricated fenestrated AMPLATZER device to improve symptoms in pulmonary hypertension patients with a pre-existing ASD.

Original languageEnglish (US)
Pages (from-to)1382-1384
Number of pages3
JournalCatheterization and Cardiovascular Interventions
Volume93
Issue number7
DOIs
StatePublished - Jun 1 2019

Fingerprint

Septal Occluder Device
Pulmonary Hypertension
Stents
Cyanosis
Equipment and Supplies
Dyspnea
Therapeutics

Keywords

  • adjustable
  • fenestrated ASD
  • pulmonary hypertension
  • shunt

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "A 60-year-old woman with progressive dyspnea and cyanosis, O2-dependent pulmonary hypertension despite optimal medical therapy and remote atrial septostomy presented with worsening cyanosis and right-to-left shunting. The creation of a “fenestrated” ASD closure device with the insertion of a peripheral stent through an AMPLATZER™ ASD closure device was deployed to minimize right to left shunting and allow for enlargement of the shunt if needed. This case demonstrates the benefit of diminishing a right to left shunt with a self-fabricated fenestrated AMPLATZER device to improve symptoms in pulmonary hypertension patients with a pre-existing ASD.",
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