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Closure of a patent arterial duct in a septuagenarian with atrial fibrillation

  • Konrad Brockmeier (a1), Peter Hallscheidt (a2) and Christlieb Haller (a3)

Abstract

We occluded a large arterial duct in a patient with atrial fibrillation, using an Amplatzer duct occluder, with no residual shunt at the end of the procedure. Follow-up revealed recanalization, which was successfully treated with a 4 mm Amplatzer ASD occluder. It is speculated the reopening of the initially occluded duct was the consequence of anticoagulation needed because of the atrial fibrillation.

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Corresponding author

Correspondence to: Konrad Brockmeier MD, Direktor der Kinderkardiologie, Department of Pediatric Cardiology, University of Cologne, 50924 Koeln, Germany. Tel: +49 478 86300; Fax: +49 478 86302; E-mail: k.brockmeier@uni-koeln.de

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The work was performed at the University of Heidelberg.

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References

Tynan M. The ductus arteriosus and its closure. New Engl J Med 1993; 329: 15701572.
Tynan M, Qureshi S. Interventional catheterization in congenital heart disease. Curr Opin Cardiol 1993; 8: 114118.
Celiker A, Qureshi SA, Bilgic A, et al. Transcatheter closure of patent arterial ducts using controlled-release coils. Eur Heart J 1997; 18: 450454.
Masura J, Walsh KP, Thanopoulous B, et al. Catheter closure of moderate- to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short-term results. J Am Coll Cardiol 1998; 31: 878882.
Bilkis AA, Alwi M, Hasri S, et al. The Amplatzer duct occluder: experience in 209 patients. J Am Coll Cardiol 2001; 37: 258281.

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