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Heart, lung & circulation · Jun 2008
Case ReportsUrgent transcatheter closure of patent foramen ovale followed by elective right-sided valve surgery for decompensated carcinoid heart disease.
- Yoshitaka Hayashi, David J McGaw, and Jacob Goldstein.
- Cardiothoracic Surgery Unit, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria 3168, Australia.
- Heart Lung Circ. 2008 Jun 1; 17 (3): 259-61.
AbstractThe presence of a patent foramen ovale (PFO) is associated with morbidity and mortality in patients with carcinoid heart disease (CHD). We report a 66-year-old male patient with tricuspid and pulmonary valve regurgitation secondary to CHD, who developed severe hypoxia due to a right-to-left shunt through a PFO. A 35 mm Amplatzer septal occluder was deployed to reduce the right-to-left shunt as an urgent procedure. Tricuspid and pulmonary valve replacements were electively performed using ON-X mechanical prostheses (31/33 mm and 19 mm, respectively) 70 days after the percutaneous procedure. Transcatheter closure of a PFO prior to definitive right-sided valve surgery can be a useful treatment for CHD patients with acute haemodynamic derangement.
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