Skip to main content
NCBI home page
The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1994;21(2):161–165.

Successful closure of a previously unsuspected atrial septal defect by an implantable Clamshell device and subsequent transvenous pacemaker implantation.

R A Friedman 1, M P O'Laughlin 1, J P Moak 1, J C Perry 1, C E Mullins 1, A Garson Jr 1, T F Feltes 1
PMCID: PMC325152  PMID: 8061541

Abstract

Implantation of transvenous leads for a permanent cardiac pacing system usually requires the absence of intracardiac shunts. We report the case of an asymptomatic atrial septal defect in an 11-year-old boy who required permanent pacing. We implanted an atrial septal defect closure (Clamshell) device prior to implantation of transvenous leads. This new device makes transvenous implantation possible and may reduce the risk of stroke in patients with these anomalies.

Full text

PDF
161

Images in this article

162Image
on p.162
163Image
on p.163
163Image
on p.163
164Image
on p.164

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bridges N. D., Hellenbrand W., Latson L., Filiano J., Newburger J. W., Lock J. E. Transcatheter closure of patent foramen ovale after presumed paradoxical embolism. Circulation. 1992 Dec;86(6):1902–1908. doi: 10.1161/01.cir.86.6.1902. [DOI] [PubMed] [Google Scholar]
  2. Langholz D., Louie E. K., Konstadt S. N., Rao T. L., Scanlon P. J. Transesophageal echocardiographic demonstration of distinct mechanisms for right to left shunting across a patent foramen ovale in the absence of pulmonary hypertension. J Am Coll Cardiol. 1991 Oct;18(4):1112–1117. doi: 10.1016/0735-1097(91)90775-5. [DOI] [PubMed] [Google Scholar]
  3. Lechat P., Mas J. L., Lascault G., Loron P., Theard M., Klimczac M., Drobinski G., Thomas D., Grosgogeat Y. Prevalence of patent foramen ovale in patients with stroke. N Engl J Med. 1988 May 5;318(18):1148–1152. doi: 10.1056/NEJM198805053181802. [DOI] [PubMed] [Google Scholar]
  4. Lock J. E., Rome J. J., Davis R., Van Praagh S., Perry S. B., Van Praagh R., Keane J. F. Transcatheter closure of atrial septal defects. Experimental studies. Circulation. 1989 May;79(5):1091–1099. doi: 10.1161/01.cir.79.5.1091. [DOI] [PubMed] [Google Scholar]
  5. Rome J. J., Keane J. F., Perry S. B., Spevak P. J., Lock J. E. Double-umbrella closure of atrial defects. Initial clinical applications. Circulation. 1990 Sep;82(3):751–758. doi: 10.1161/01.cir.82.3.751. [DOI] [PubMed] [Google Scholar]
  6. Silka M. J., Rice M. J. Paradoxic embolism due to altered hemodynamic sequencing following transvenous pacing. Pacing Clin Electrophysiol. 1991 Apr;14(4 Pt 1):499–503. doi: 10.1111/j.1540-8159.1991.tb02820.x. [DOI] [PubMed] [Google Scholar]
  7. de Belder M. A., Tourikis L., Leech G., Camm A. J. Risk of patent foramen ovale for thromboembolic events in all age groups. Am J Cardiol. 1992 May 15;69(16):1316–1320. doi: 10.1016/0002-9149(92)91228-v. [DOI] [PubMed] [Google Scholar]

Articles from Texas Heart Institute Journal are provided here courtesy of Texas Heart Institute

RESOURCES