Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-08T13:22:55.508Z Has data issue: false hasContentIssue false

Amplatzer Vascular Plug closure of an iatrogenic interatrial tunnel-type communication

Published online by Cambridge University Press:  13 December 2023

Emily King
Affiliation:
Department of Psychology, University of California, Berkeley, CA, USA
Alvaro Galindo
Affiliation:
Children’s Heart Center Nevada, Las Vegas, NV, USA Division of Pediatric Cardiology, Department of Pediatrics, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA
Abraham Rothman*
Affiliation:
Children’s Heart Center Nevada, Las Vegas, NV, USA Division of Pediatric Cardiology, Department of Pediatrics, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, NV, USA
*
Corresponding author: Abraham Rothman; Email: arothman@chcnv.org

Abstract

A 50-year-old woman who had atrial septal defect surgery at 11 months old underwent ascending aortic aneurysm resection and two attempts at closure of a residual atrial septal defect. Post-operatively, she had severe cyanosis. She was referred to our centre where a transesophageal echocardiogram and cardiac catheterisation showed an iatrogenic interatrial tunnel-type communication that was closed with an Amplatzer Vascular Plug.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Farb, A, Ibrahim, NG, Zuckerman, BD. Patent foramen ovale after cryptogenic stroke - assessing the evidence for closure. N Engl J Med 2017; 377: 10061009.CrossRefGoogle ScholarPubMed
Fraisse, A, Latchman, M, Sharma, SR, et al. Atrial septal defect closure: indications and contra-indications. J Thorac Dis 2018; 10: S2874S2881.CrossRefGoogle ScholarPubMed
Sarioglu, CT, Sisli, E, Yalcinbas, YK, Saygili, A. An easy modification of tube graft interposition during fenestration in borderline Fontan circulation. Ann Thorac Surg 2015; 100: 14821484.CrossRefGoogle ScholarPubMed
Torigoe, T, Sato, S, Sanada, A. Extracardiac interatrial tunnel and atrial septal defect closed with a single atrial septal occluder in an adolescent girl. Canad J Cardiol 2015; 31: 1073.E171073.E19.CrossRefGoogle Scholar
Waldman, J, McFeeley, P, Bornikova, L. Right atrial tunnel to the left atrial appendage: a danger during balloon septostomy. Pediatr Cardiol 2001; 22: 397399.CrossRefGoogle Scholar
Kanadaşı, M, Özbarlas, N, Demirtaş, M, Usal, A, Akpınar, O. Natural conduit between two atria associated with atrial septal defect. Int J Cardiovasc Imaging 2005; 21: 379382.CrossRefGoogle ScholarPubMed
Lyon, SM, Hoyer, MH. Unusual interatrial fistula discovered during device closure of an atrial septal defect. Catheter Cardiovasc Interv 2020; 95: 467470.CrossRefGoogle ScholarPubMed
Mahmoud, HM, Hosny, M, Philip, P, Wagdy, K, et al. An interatrial tunnel: a rare form of atrial septal defects. Echocardiography 2016; 33: 17811784.CrossRefGoogle ScholarPubMed