Abstract
A 67-year-old male presented with a left ventricular ejection fraction of 21% and an atrial septal defect (ASD), the closure of which carries a risk of worsening the patients' clinical situation. The ASD contributed significantly to heart failure according to NYHA class III to IV, on the other hand. Preconditioning, echocardiographic testing, and test closure were carried out in order to minimize the risk and to finally close the defect successfully in behoof of the patient.
Copyright © 2012 Wiley Periodicals, Inc.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Aged
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Cardiac Catheterization* / instrumentation
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Cardiomyopathies / diagnosis
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Cardiomyopathies / etiology*
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Cardiomyopathies / physiopathology
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Echocardiography, Transesophageal
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Heart Failure / etiology
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Heart Failure / physiopathology
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Heart Septal Defects, Atrial / complications
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Heart Septal Defects, Atrial / diagnosis
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Heart Septal Defects, Atrial / diagnostic imaging
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Heart Septal Defects, Atrial / physiopathology
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Heart Septal Defects, Atrial / therapy*
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Humans
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Male
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Myocardial Ischemia / complications*
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Myocardial Ischemia / diagnosis
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Myocardial Ischemia / physiopathology
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Predictive Value of Tests
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Septal Occluder Device
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Stroke Volume
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Treatment Outcome
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Ventricular Dysfunction, Left / etiology
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Ventricular Dysfunction, Left / physiopathology
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Ventricular Function, Left
Supplementary concepts
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Atrial Septal Defect, Secundum Type