Use of amplatzer fenestrated atrial septal defect device in a child with familial pulmonary hypertension

Alain Fraisse, Philippe Chetaille, Zahid Amin, Francis Rouault, Marc Humbert

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

In a 4.5-year-old child with refractory pulmonary arterial hypertension, we performed atrial septostomy with the application of an Amplatzer fenestrated device designed to maintain patency. Continuous intravenous epoprostenol infusion was started concomitantly. Forty-two months after the procedure, the patient had no recurrent syncope and remained in New York Heart Association functional class II. Fenestration of the atrial septum is feasible in children with pulmonary artery hypertension. No conclusion regarding the patient's need for an atrial septal defect can be drawn since concomitant prostanoid therapy was administered. The long-term patency of the atrial communication needs further confirmation and the optimal timing for its application has to be determined.

Original languageEnglish (US)
Pages (from-to)759-762
Number of pages4
JournalPediatric Cardiology
Volume27
Issue number6
DOIs
StatePublished - Dec 1 2006

Keywords

  • Atrial septostomy
  • Interventional catheterization
  • Pulmonary arterial hypertension

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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