Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis
Ebstein anomaly is a congenital malformation of the tricuspid valve (TV) that is rarely diagnosed in adult population. It is associated with interatrial communication whether by an atrial septal defect (ASD) or parent foramen oval (PFO) in 80–90% of patients. In non surgical candidates, percutaneous...
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2021
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oai:doaj.org-article:cc1f7f1d1820474984476717af4c08382021-11-06T04:38:05ZPercutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis2666-668510.1016/j.ijcchd.2021.100221https://doaj.org/article/cc1f7f1d1820474984476717af4c08382021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666668521001452https://doaj.org/toc/2666-6685Ebstein anomaly is a congenital malformation of the tricuspid valve (TV) that is rarely diagnosed in adult population. It is associated with interatrial communication whether by an atrial septal defect (ASD) or parent foramen oval (PFO) in 80–90% of patients. In non surgical candidates, percutaneous closure of the interatrial communication is not always tolerated. Herein we present the case of 61 year-old man who was diagnosed with Ebstein anomaly that was associated with large patent foramen oval resulting in right to left shunt and causing dyspnea, exercise intolerance and peripheral cyanosis which was not corrected with oxygen administration. Our patient was treated with percutaneous closure of PFO by deployment of Amplatzer septal occluder. We noted a dramatic improvement of the pulse oxygen saturation while in the catheterization laboratory and marked clinical improvement of the dyspnea and exercise tolerance at 2 and 4 week follow-up.Zahra Nassereddine, MDFida Charif, MDClaudette Najjar, MDDani Youssef, MDMohamad Saab, MDElsevierarticleEbstein anomalyRight to left shuntCongenital heart defectRight heart failurePercutaneous closureDiseases of the circulatory (Cardiovascular) systemRC666-701ENInternational Journal of Cardiology Congenital Heart Disease, Vol 5, Iss , Pp 100221- (2021) |
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Ebstein anomaly Right to left shunt Congenital heart defect Right heart failure Percutaneous closure Diseases of the circulatory (Cardiovascular) system RC666-701 |
spellingShingle |
Ebstein anomaly Right to left shunt Congenital heart defect Right heart failure Percutaneous closure Diseases of the circulatory (Cardiovascular) system RC666-701 Zahra Nassereddine, MD Fida Charif, MD Claudette Najjar, MD Dani Youssef, MD Mohamad Saab, MD Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
description |
Ebstein anomaly is a congenital malformation of the tricuspid valve (TV) that is rarely diagnosed in adult population. It is associated with interatrial communication whether by an atrial septal defect (ASD) or parent foramen oval (PFO) in 80–90% of patients. In non surgical candidates, percutaneous closure of the interatrial communication is not always tolerated. Herein we present the case of 61 year-old man who was diagnosed with Ebstein anomaly that was associated with large patent foramen oval resulting in right to left shunt and causing dyspnea, exercise intolerance and peripheral cyanosis which was not corrected with oxygen administration. Our patient was treated with percutaneous closure of PFO by deployment of Amplatzer septal occluder. We noted a dramatic improvement of the pulse oxygen saturation while in the catheterization laboratory and marked clinical improvement of the dyspnea and exercise tolerance at 2 and 4 week follow-up. |
format |
article |
author |
Zahra Nassereddine, MD Fida Charif, MD Claudette Najjar, MD Dani Youssef, MD Mohamad Saab, MD |
author_facet |
Zahra Nassereddine, MD Fida Charif, MD Claudette Najjar, MD Dani Youssef, MD Mohamad Saab, MD |
author_sort |
Zahra Nassereddine, MD |
title |
Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
title_short |
Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
title_full |
Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
title_fullStr |
Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
title_full_unstemmed |
Percutaneous PFO closure in adult patient with Ebstein anomaly and cyanosis |
title_sort |
percutaneous pfo closure in adult patient with ebstein anomaly and cyanosis |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/cc1f7f1d1820474984476717af4c0838 |
work_keys_str_mv |
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_version_ |
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