Mj. Landzberg et al., ORTHODEOXIA-PLATYPNEA DUE TO INTRACARDIAC SHUNTING - RELIEF WITH TRANSCATHETER DOUBLE UMBRELLA CLOSURE, Catheterization and cardiovascular diagnosis, 36(3), 1995, pp. 247-250
The safety and efficacy of transcatheter clamshell occlusion of patent
foramen ovale for relief of severe arterial desaturation and dyspnea
in the upright position due to intracardiac shunting were examined in
eight patients with excessive risk of surgical patent foramen ovate cl
osure, All patients had successful reduction of intracardiac shunting
with an immediate rise in oxygen saturation greater than or equal to 9
5% by implantation of a clamshell device on the atrial septum, Despite
two early incidents of device embolization, retrieval and immediate r
e-implantation, and one patient with nonsustained atrial and ventricul
ar arrhythmias, there were no adverse clinical sequelae, In follow-up
evaluation transcatheter clamshell closure of patent foramen ovale has
provided persistent relief from shunt-related arterial desaturation a
nd symptomatology in all living patients. (C) 1995 Wiley-Liss, Inc.