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Device Closure of a Secundum Atrial Septal Defect in a 4‐Month‐Old Infant with a Marginal Left Ventricle Following Coarctation Repair
Authors:Emilie Jean‐St‐Michel  Martin Charles Kenneth Hosking  James Edward Potts  George Gabor Stephen Sandor
Abstract:A male infant presented at birth with severe coarctation of the aorta and marginal left ventricular and mitral valve dimensions associated with a large secundum atrial septal defect. Following successful arch repair, the left ventricle remained small with preferential left‐to‐right atrial shunting and a dilated right ventricle. Clinically, the infant continued with tachypnea, poor feeding, and failure to thrive. At 4 months of age, the defect was closed with an Amplatzer Atrial Septal Occluder which resulted in immediate left ventricular cavity enlargement and clinical improvement.
Keywords:Device Closure  Atrial Septal Defect  Coarctation  Left Ventricular Size  Infant
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