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  • Title: Transcatheter closure of an atrial septal defect in a newborn with aortic stenosis.
    Author: Beitzke A, Zobel G, Nagel B, Koestenberger M.
    Journal: Acta Paediatr; 2009 Mar; 98(3):582-3. PubMed ID: 19046350.
    Abstract:
    AIM: A newborn with valvular aortic stenosis and a 5 mm atrial septal defect (ASD) underwent emergency aortic valvotomy. The small left ventricle of the newborn with signs of fibroelastosis showed good function but a reduced compliance and caused a large left to right shunt at atrial level. METHODS AND RESULTS: As the patient became respirator-dependant the ASD was interventionally closed with an 18 mm Amplatzer PFO occluder. The patient could be weaned from the ventilator within two days and had an uneventful recovery. CONCLUSION: Interventional closure of an ASD is possible even in the newborn period and should be considered as an alternative to surgery.
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