TY - JOUR
T1 - Acidi linksherzinsuffizienz nach interventionellem verschluss eines vorhofseptumdefekts
AU - Ewert, P.
AU - Berger, F.
AU - Nagdyman, N.
AU - Kretschmar, O.
AU - Lange, P. E.
PY - 2001
Y1 - 2001
N2 - Congestive left ventricular failure after surgical closure of an atrial septal defect (ASD) has been repeatedly reported, particularly in the elderly. We present a case of left ventricular failure after a successful transcatheter closure of an ASD, which to our knowledge has not been described before. In a 78-year-old woman (50 kg, 160 Cm) with well-preserved left ventricular function (ejection fraction 65%) and without coronary artery disease or arterial hypertension, an ASD (Qp/Qs 1.6:1) was closed with an Amplatzer Septal Occluder without a residual shunt. Two hours after the procedure, she developed pulmonary edema due to left ventricular failure (increase of end-diastolic diameter from 42 mm to 54 mm, ejection fraction 20%), had to be mechanically ventilated for 24 hours and needed catecholamines for 4 days. High doses of diuretics were supplied until the ejection fraction normalized (32%). The patient could not be discharged until two weeks after intervention. A reduced preload for decades may predispose acute left ventricular failure, particularly in the elderly with compromised ventricular compliance.
AB - Congestive left ventricular failure after surgical closure of an atrial septal defect (ASD) has been repeatedly reported, particularly in the elderly. We present a case of left ventricular failure after a successful transcatheter closure of an ASD, which to our knowledge has not been described before. In a 78-year-old woman (50 kg, 160 Cm) with well-preserved left ventricular function (ejection fraction 65%) and without coronary artery disease or arterial hypertension, an ASD (Qp/Qs 1.6:1) was closed with an Amplatzer Septal Occluder without a residual shunt. Two hours after the procedure, she developed pulmonary edema due to left ventricular failure (increase of end-diastolic diameter from 42 mm to 54 mm, ejection fraction 20%), had to be mechanically ventilated for 24 hours and needed catecholamines for 4 days. High doses of diuretics were supplied until the ejection fraction normalized (32%). The patient could not be discharged until two weeks after intervention. A reduced preload for decades may predispose acute left ventricular failure, particularly in the elderly with compromised ventricular compliance.
KW - Atrial septal defect
KW - Balloon sizing
KW - Congestive heart failure
KW - Left ventricular diastolic function
KW - Transcatheter closure
UR - http://www.scopus.com/inward/record.url?scp=0034741727&partnerID=8YFLogxK
U2 - 10.1007/s003920170167
DO - 10.1007/s003920170167
M3 - Artikel
C2 - 11452899
AN - SCOPUS:0034741727
SN - 0300-5860
VL - 90
SP - 362
EP - 366
JO - Zeitschrift fur Kardiologie
JF - Zeitschrift fur Kardiologie
IS - 5
ER -