Anomalous systemic venous to left atrial connection in tricuspid atresia with severely restrictive interatrial communication

1991 ◽  
Vol 12 (4) ◽  
pp. 241-242 ◽  
Author(s):  
Gerard Holmes ◽  
Armin J. Wagman ◽  
Michael L. Epstein
Keyword(s):  
Left Atrial ◽  
Tricuspid Atresia ◽  
Interatrial Communication ◽  
Restrictive Interatrial Communication

Abstracts for the British Congenital Cardiac Association Annual Meeting: The Barbican, London, 24–25 November 2005: Poster Presentations: Assessment of the need for elective balloon atrial septostomy in patients with tricuspid atresia. a 25 year experience at the Yorkshire Heart Centre

2006 ◽  
Vol 16 (3) ◽  
pp. 320-320
Author(s):  
D.M. Taliotis ◽  
J.D.R. Thomson ◽  
J.L. Gibbs
Keyword(s):  
Atrial Septum ◽  
Tricuspid Atresia ◽  
Term Outcome ◽  
Interatrial Communication ◽  
Balloon Atrial Septostomy ◽  
Complex Anatomy ◽  
Atrial Septostomy ◽  
Restrictive Interatrial Communication

Introduction: Significant variation exists in the perceived indications for balloon atrial septostomy in children with tricuspid atresia (TA). Many units advocate early, elective balloon atrial septostomy due to potential progressive narrowing of the interatrial opening, especially after the insertion of an arterial shunt. Our practice is to perform an atrial septostomy only in children with clinical and/or echocardiographic features of a restrictive interatrial communication. The aim of the study was to assess our practice by retrospective evaluation of patients born with tricuspid atresia with particular reference to the clinical fate of the atrial septum. More specifically the frequency of emergency atrial septostomy, the complication rate, the need for delayed septostomy or surgical resection and the longer term outcome were evaluated. Materials and methods: The study was a retrospective review (1980–2005) of the data on 49 live-born patients in our departmental database with a diagnosis of TA. One patient was excluded from the study due to referral to another centre and subsequent loss to follow up. By reviewing the medical notes of the remaining 48 patients we collected data on indications for, and timing of balloon atrial septostomy and subsequent complications and long term outcome. Results: The median time to follow up was 9.5 years (0.7–23.7). The diagnosis group was heterogeneous with 38 (79%) patients diagnosed with TA and normally related great arteries with or without pulmonary stenosis or atresia. The remaining 10 patients had more complex anatomy. Of the 48 patients, 5 (10%) were deemed to require balloon atrial septostomy for a clinically and/or echocardiographically restrictive atrial septum. Three procedures were performed within the first 24 hrs of life and 2 within the first month. One of the patients developed NEC following the septostomy and subsequently died of overwhelming sepsis. One patient required delayed surgical septectomy at 6 years of age, during a bidirectional Glenn operation. Of the remaining 42 patients there were 7 deaths (16%) but none were attributed to a restrictive atrial septum (1–at birth, severe acidosis and multi organ failure due to interrupted aortic arch and poor response to IV Prostin; 1–5 days with Group B streptococcal sepsis; 1–post operative sepsis following insertion of a BT shunt; 1–9 years, acute shunt obstruction; 1–withdrawal of care due to complex anatomy deemed to have a poor prognosis; 2-sudden death at home at 3½ years and 11 years). 26 patients required palliation with an arterial shunt (19–modified BT shunt, 6–Waterston Shunt, 1–ductal stent). None of the patients developed a clinically and/or echocardiographically restrictive atrial septum post procedure or during long term follow-up. Conclusions: We conclude that elective balloon atrial septostomy at presentation may not be necessary in patients born with tricuspid atresia. Accepting the limitations of retrospective data collection we also conclude that progressive narrowing of the interatrial septum at a later date is an unusual occurrence, even after an arterial shunt operation. We recommend that atrial septostomy should only be performed in patients who show obvious clinical and/or echocardiographic evidence of restrictive interatrial communication.

scholarly journals Simultaneous Transcatheter Closure of the Left Atrial Appendage and Congenital Interatrial Communication Closure

2022 ◽  
Vol 17 (1) ◽  
pp. 61-70
Author(s):  
Jianming Wang ◽  
Xianyang Zhu ◽  
Xiaotang Sheng ◽  
Jingsong Geng ◽  
Jiawang Xiao ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Transcatheter Closure ◽  
Atrial Appendage ◽  
Interatrial Communication

Restrictive interatrial communication in total anomalous pulmonary venous connection

1986 ◽  
Vol 57 (13) ◽  
pp. 1131-1136 ◽  
Author(s):  
Kent E. Ward ◽  
Charles E. Mullins ◽  
James C. Huhta ◽  
Michael R. Nihill ◽  
Dan G. Mcnamara ◽  
...  
Keyword(s):  
Interatrial Communication ◽  
Anomalous Pulmonary Venous Connection ◽  
Restrictive Interatrial Communication

scholarly journals Giant left atrial appendage aneurysm in association with tricuspid atresia

2016 ◽  
Vol 17 (3) ◽  
pp. 352-352 ◽  
Author(s):  
Ravindra Pawar ◽  
Smruti Patel ◽  
Kiran VS ◽  
Suresh PV ◽  
Shekhar Rao
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Tricuspid Atresia ◽  
Atrial Appendage ◽  
Left Atrial Appendage Aneurysm

scholarly journals Interatrial Communication and Left Atrial Hypertension

Circulation ◽  
1963 ◽  
Vol 28 (5) ◽  
pp. 853-860 ◽  
Author(s):  
JOHN ROSS ◽  
EUGENE BRAUNWALD ◽  
DEAN T. MASON ◽  
NINA S. BRAUNWALD ◽  
ANDREW G. MORROW
Keyword(s):  
Left Atrial ◽  
Interatrial Communication

Late cardiac tamponade after transcatheter closure of atrial septal defect with Cardioseal® device

2001 ◽  
Vol 11 (2) ◽  
pp. 233-235 ◽  
Author(s):  
Fátima F. Pinto ◽  
Lídia Sousa ◽  
José Fragata
Keyword(s):  
Atrial Septal Defect ◽  
Cardiac Tamponade ◽  
Left Atrial ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Atrial Wall ◽  
Interatrial Communication ◽  
Left Atrial Wall ◽  
Life Threatening ◽  
Life Threatening Complication

Cardiac tamponade occurring late after interventional closure of defects within the oval fossa is a very rare but life-threatening complication. We describe such an occurrence after use of a Cardioseal device to close an interatrial communication. Two arms of the device had perforated left atrial wall. The device was removed at surgery, and the defect closed uneventfully. All available means should be used to identify this complication.

Transcatheter creation of a pulmonary artery to left atrial fenestration in a failing Fontan circulation using the Atrial Flow Regulator (AFR)

2021 ◽  
pp. 1-4
Author(s):  
Emma Pascall ◽  
Matthew I. Jones ◽  
Alexandra Savis ◽  
Eric Rosenthal ◽  
Shakeel A. Qureshi
Keyword(s):  
Heart Failure ◽  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Left Atrium ◽  
Clinical Condition ◽  
Left Atrial ◽  
Fontan Circulation ◽  
Interatrial Communication ◽  
Flow Regulator ◽  
Failing Fontan

Abstract Transcatheter creation of an interatrial communication using the Occlutech Atrial Flow Regulator Device for pulmonary hypertension or heart failure is well described. We report a case of an 8-year-old boy with a failing Fontan circulation, in whom the Atrial Flow Regulator was used to successfully create a fenestration between the pulmonary artery and left atrium, improving his clinical condition.

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