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Left ventricular restrictive physiology in kids with atrial septal defects: Something unexpected!


1 Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy
2 Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Evelina Children's, Hospital, St Thomas Hospital, 249 Westminster Bridge Road, SE1 7EH; School of Biomedical Engineering and Imaging Sciences, Kings College, London, England

Correspondence Address:
Dr. Gianfranco Butera
Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Evelina Children's, Hospital, St Thomas Hospital, 249 Westminster Bridge Road, SE1 7EH, London; School of Biomedical Engineering and Imaging Sciences, Kings College, London
England
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_169_19

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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 228-230

 

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Atrial septal defect (ASD) associated with left ventricular (LV) diastolic dysfunction (DD) is rare in children. DD is common in elderly patients undergoing ASD closure. Restrictive physiology among children undergoing percutaneous ASD closure is something unexpected that has not been described before in the literature. Hence, we report on a case of a child referred to our center for ASD closure in which an LV DD has been unmasked with a balloon occlusion test and has been managed with pharmacological preconditioning and subsequent ASD closure with good outcome. Albeit rare, LV DD can occur on children undergoing ASD closure.






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1 Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy
2 Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Evelina Children's, Hospital, St Thomas Hospital, 249 Westminster Bridge Road, SE1 7EH; School of Biomedical Engineering and Imaging Sciences, Kings College, London, England

Correspondence Address:
Dr. Gianfranco Butera
Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Evelina Children's, Hospital, St Thomas Hospital, 249 Westminster Bridge Road, SE1 7EH, London; School of Biomedical Engineering and Imaging Sciences, Kings College, London
England
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_169_19

Rights and Permissions

Atrial septal defect (ASD) associated with left ventricular (LV) diastolic dysfunction (DD) is rare in children. DD is common in elderly patients undergoing ASD closure. Restrictive physiology among children undergoing percutaneous ASD closure is something unexpected that has not been described before in the literature. Hence, we report on a case of a child referred to our center for ASD closure in which an LV DD has been unmasked with a balloon occlusion test and has been managed with pharmacological preconditioning and subsequent ASD closure with good outcome. Albeit rare, LV DD can occur on children undergoing ASD closure.






[FULL TEXT] [PDF]*


        
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