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Creation with a stent of an unrestrictive lasting atrial communication

Published online by Cambridge University Press:  30 July 2009

Marc Gewillig ,
Derize Boshoff  and
Luc Mertens
Marc Gewillig*
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Derize Boshoff
Affiliation:
University Hospitals Leuven, Leuven, Belgium
Luc Mertens
Affiliation:
University Hospitals Leuven, Leuven, Belgium
*
Marc Gewillig, Paediatric Cardiology, University Hospitals Leuven, B-3000 Leuven, Belgium. Tel: +32 16 343865; Fax: +32 16 343981; E-mail: [email protected]
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Abstract

A new technique is presented to create percutaneously an unrestrictive and lasting atrial communication in small children. In 2 infants, a stent was deployed in a restrictive atrial communication and first inflated with an 8 mm balloon. The stent was then further expanded up to 10 or 12 mm. The gradient and turbulent flow between the two atriums disappeared completely. The stent retained a very stable position without embolisation. Other complications, such as formation of thrombus or arrhythmia, were not observed until elective explantation after 2 and 11 months. We conclude that, in infants, dilation of the atrial septum with a stent can provide a safe, lasting, and unrestrictive atrial communication.

Keywords

Percutaneous interventionstentatrial septal defect
Type
Brief Reports
Information
Cardiology in the Young , Volume 12 , Issue 4 , July 2002 , pp. 404 - 407
Copyright
Copyright © Cambridge University Press 2002

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