Seventeen patients with aorticopulmonary septal defect were studied over a period of 1S years. This report includes clinical, electrocardiographic, radiographic, cardiac catheterization, and angiocardiographic data on the patients. Clinical examination usually showed a large left-to-right shunt and significant pulmonary hypertension. A definitive diagnosis was made by cardiac catheterization an...

Seventeen patients with aorticopulmonary septal defect were studied over a period of 1S years. This report includes clinical, electrocardiographic, radiographic, cardiac catheterization, and angiocardiographic data on the patients. Clinical examination usually showed a large left-to-right shunt and significant pulmonary hypertension. A definitive diagnosis was made by cardiac catheterization an...

A continuous murmur like that of a persistent ductus arteriosus produced by a stenosed branch of a pulmonary artery with a post-stenotic dilatation is presented in the following case. Other abnormalities included a hypoplastic left lung, atrial septal defect, ventricular septal defect, and an absent left pulmonary artery. The literature on congenital heart disease contains increasing numbers of...

A 3.5-year-old girl (weight, 19 kg; height, 103 cm) was hospitalized for interventional closure of secundum atrial septal defect (ASD II). In transthoracic and transesophageal echocardiography (TEE), we found a hemodynamically relevant left-to-right shunt caused by isolated ASD II without any systemic or pulmonary venous anomaly. All heart valves were patent and showed no regurgitation. The siz...

Seventeen patients with aorticopulmonary septal defect were studied over a period of 1S years. This report includes clinical, electrocardiographic, radiographic, cardiac catheterization, and angiocardiographic data on the patients. Clinical examination usually showed a large left-to-right shunt and significant pulmonary hypertension. A definitive diagnosis was made by cardiac catheterization an...

Results Two patients underwent the first Fontan palliations while participating in a development program for congenital heart surgery. Both presented at 32-33 months of age with baseline oxygen saturations of 82-84%. Patient 1 underwent an extracardiac Fontan with a GoreTex conduit larger than the IVC due to limited supplies. Postoperatively, the patient decompensated to a low cardiac output st...

Cardiac erosion related to transcatheter atrial septal defect closure devices is of increasing concern. Erosion is reported to have occurred with most of currently available occluder devices. Perhaps due to the very large number of implants worldwide, the Amplatzer (St Jude) occluder is associated with the majority of cardiac erosion events reported in the literature. Best current estimates of ...

A continuous murmur like that of a persistent ductus arteriosus produced by a stenosed branch of a pulmonary artery with a post-stenotic dilatation is presented in the following case. Other abnormalities included a hypoplastic left lung, atrial septal defect, ventricular septal defect, and an absent left pulmonary artery. The literature on congenital heart disease contains increasing numbers of...

A 2-year-old boy was admitted for a 16-day history of intermittent fever (up to 40.5°C) with no other symptom. He had been followed since birth for a large midmuscular ventricular septal defect with a left-to-right shunt and signs of congestive heart failure. At 2 months of age, the patient had a pulmonary artery banding, and at 16 months of age he underwent hybrid periventricular closure of a ...

INTRODUCTION The device closure of atrial septal defects has evolved over the years. In the early days of transcatheter occlusion, balloon sizing was used to choose an appropriate sized device. We postulate that balloon sizing does not value-add to the procedure and is unnecessary. MATERIALS AND METHODS Patients who had balloon sizing, with (Group 1, n = 38) or without (Group 2, n = 21) atria...