Percutaneous obliteration of left ventricular cavity to eliminate aortic regurgitation and presumed coronary steal in an infant with hypoplastic left heart syndrome.
Catheter Cardiovasc Interv
; 90(6): 982-985, 2017 Nov 15.
Article
em En
| MEDLINE
| ID: mdl-28568976
The phenomenon of coronary steal is well known in the setting of HLHS (Hypoplastic Left Heart Syndrome) early after the Classical Norwood Operation. We report a rare case of an infant with HLHS [Severe Aortic Stenosis (AS), Mitral Stenosis (MS) and small Left Ventricle (LV)], who developed aortic regurgitation and presumed coronary steal late after the Sano Modification of the Norwood Procedure. Coronary steal developed secondary to progressive aortic and mitral regurgitation and resulted in poor right ventricular function and severe tricuspid regurgitation. We describe a novel interventional approach for obliteration of the LV cavity by using hydrogel coils. LV obliteration eliminated the presumed steal and resulted in improvement in ventricular function, tricuspid regurgitation and clinical course.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência da Valva Aórtica
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Complicações Pós-Operatórias
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Cateterismo Cardíaco
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Síndrome do Coração Esquerdo Hipoplásico
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Dispositivo para Oclusão Septal
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Procedimentos de Norwood
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Ventrículos do Coração
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
Limite:
Humans
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Infant
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article