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Closure of a secundum atrial septal defect in two infants with chronic lung disease using the Gore HELEX Septal Occluder

Published online by Cambridge University Press:  20 January 2015

Matt E. Zussman ,
Grace Freire ,
Shawn D. Cupp  and
Gary E. Stapleton
Matt E. Zussman
Affiliation:
Johns Hopkins Heart Institute, All Children’s Hospital, St. PetersburgFlorida, United States of America Department of Pediatric Cardiology, Florida Hospital for Children, Orlando, Florida, United States of America
Grace Freire
Affiliation:
Johns Hopkins Heart Institute, All Children’s Hospital, St. PetersburgFlorida, United States of America
Shawn D. Cupp
Affiliation:
Johns Hopkins Heart Institute, All Children’s Hospital, St. PetersburgFlorida, United States of America
Gary E. Stapleton*
Affiliation:
Johns Hopkins Heart Institute, All Children’s Hospital, St. PetersburgFlorida, United States of America Department of Pediatric Cardiology, Florida Hospital for Children, Orlando, Florida, United States of America
*
Correspondence to: Dr G. E. Stapleton, MD, Johns Hopkins Heart Institute, All Children’s Hospital, Outpatient Care Center 2nd Floor, 601 5th Street South, St. Petersburg, FL 33701, United States of America. Tel: +727-767-3333; Fax: +727-767-8990; E-mail: gstaple1@jhmi.edu
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Abstract

Children with a secundum atrial septal defect are usually asymptomatic and are referred for elective closure after 3–4 years of age; however, in premature infants with chronic lung disease, bronchopulmonary dysplasia, or pulmonary hypertension, increased pulmonary blood flow secondary to a left-to-right atrial shunt, may exacerbate their condition. Closure of the atrial septal defect in these patients can result in significant clinical improvement. We report the cases of two premature infants with chronic lung disease, who underwent atrial septal defect closure with the Gore HELEX Septal Occluder and discuss the technical aspects of using the device in these patients and their clinical outcomes.

Keywords

Atrial septal defectHELEX Septal Occludeinfantchronic lung disease
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 1 , January 2016 , pp. 79 - 83
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Copyright
© Cambridge University Press 2015 

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References

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