Journal of Invasive Cardiology
VOLUME: 20 PUBLICATION DATE: Sep 01 2008
Sidebars_in_article:
Issue Number: 9 Sept 08
Authors
Abraham Rothman, MD, Alvaro
Galindo, MD, Richard Channick, MD, Daniel Blanchard, MD
Source
ChildrenŐs Heart Center Nevada, 3006 S Maryland Parkway, Ste 690, Las Vegas, NV
89109.
E-mail: rothman@childrensheartcenter.com.
Abstract
An 86-year-old male presented with progressive
shortness of breath and a murmur. Six years earlier, he had undergone mitral
valve surgery. An echocardiogram revealed a significant left
ventricular-to-right atrial connection (Gerbode defect). The defect was closed
percutaneously using an Amplatzer Septal Occluder device. After the procedure,
the patient developed transient hemolysis and renal dysfunction. A year later,
there was no residual flow on echocardiography and the patient reported marked
improvement in exercise tolerance.