Percutaneous Atrial Septal Defect Closure in Adult Ebstein's Anomaly with Exertional Hypoxemia

• Oka Kensuke

  Department of Pediatrics, Jichi Medical University

• Seki Mitsuru

  Department of Pediatrics, Jichi Medical University

• Kataoka Koichi

  Department of Pediatrics, Jichi Medical University

• Sato Tomoyuki

  Department of Pediatrics, Jichi Medical University

• Imai Yasushi

  Department of Cardiovascular Medicine, Jichi Medical University

• Yamagata Takanori

  Department of Pediatrics, Jichi Medical University

Abstract

In Ebstein's anomaly, percutaneous atrial septal defect (ASD) closure for the treatment of hypoxemia due to a right-to-left interatrial shunt remains controversial. We report the case of a 40-year-old woman with Ebstein's anomaly who developed cyanosis and shortness of breath on exercise. Her symptoms improved after percutaneous ASD closure and her clinical course has been good during follow-up. The balloon ASD occlusion test, combined with dobutamine stimulation before the procedure, is useful to confirm treatment indication. A prior electrophysiological evaluation is also important because Ebstein's anomaly is often complicated by atrioventricular recurrent tachycardia.

Journal

• International Heart Journal

  International Heart Journal 61 (3), 620-623, 2020-05-30

  International Heart Journal Association

Keywords

• ASD occlusion test
• Dobutamine stimulation
• Electrophysiological study
• Interatrial shunt
• Cyanosis

Details

• CRID: 1390566775137654144
• NII Article ID: 130007849572
• DOI: 10.1536/ihj.19-641
• ISSN: 13493299
• ISSN: 13492365
• PubMed: 32418968
• Web Site: https://www.jstage.jst.go.jp/article/ihj/61/3/61_19-641/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2021108358
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed