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Giordano M, Gaio G, Marzullo R, Scognamiglio G, Altobelli I, Russo MG, Sarubbi B. Patent foramen ovale closure with NobleStitch EL system in a case of Ebstein's anomaly after a failed device closure attempt. J Cardiovasc Med (Hagerstown) 2024; 25:559-562. [PMID: 38625819 DOI: 10.2459/jcm.0000000000001615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2024]
Abstract
In the setting of an Ebstein's anomaly, a right-to-left shunt via a patent foramen ovale (PFO) may be the cause of a significant cyanosis. In these patients, the PFO closure is able to improve the arterial saturation. Furthermore, a partial closure is often recommended to obtain a reduction in the PFO right-left shunt without a significant impact on the right chamber hemodynamics. However, in some cases, a complex PFO anatomy may prevent an effective device closure.
We describe the case of a patient with Ebstein's anomaly and a significant cyanosis due to a right-to-left shunt via the PFO wherein an effective partial PFO closure with a suture-mediated NobleStitch EL system was achieved in a setting of a complex PFO anatomy (large aneurismatic septum, long stiff tunnel, and hypertrophic septum secundum) after a failed device-closure attempt.
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Affiliation(s)
- Mario Giordano
- Pediatric Cardiology Unit, University of Campania 'Luigi Vanvitelli'
| | - Gianpiero Gaio
- Pediatric Cardiology Unit, University of Campania 'Luigi Vanvitelli'
| | | | - Giancarlo Scognamiglio
- Adult Congenital Heart Disease Unit, AORN 'Ospedali dei Colli', Monaldi Hospital, Naples, Italy
| | - Ippolita Altobelli
- Adult Congenital Heart Disease Unit, AORN 'Ospedali dei Colli', Monaldi Hospital, Naples, Italy
| | | | - Berardo Sarubbi
- Adult Congenital Heart Disease Unit, AORN 'Ospedali dei Colli', Monaldi Hospital, Naples, Italy
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