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Ann Thorac Surg 1989;48:295-297
© 1989 The Society of Thoracic Surgeons

Articles

Surgical implications of atrial septal defect complicating aortic balloon valvuloplasty

MD John H. Lemmer, Jr*, Michael D. Winniford, MD, David W. Ferguson, MD

Divisions of Cardiothoracic Surgery and Cardiovascular Medicine, Departments of Surgery and Internal Medicine, The University of Iowa College of Medicine and Hospitals and Clinics, Iowa City, Iowa USA

Accepted for publication February 13, 1989.

* Address reprint requests to Dr Lemmer, Division of Cardiothoracic Surgery, Department of Surgery, The University of Iowa Hospitals and Clinics, Room 2034, Boyd Tower, Iowa City, IA 52242.

An 80-year-old man underwent percutaneous transluminal balloon valvuloplasty for critical aortic stenosis. The procedure was performed by the antegrade atrial transseptal approach and was complicated by a persistent atrial septal defect. Symptoms recurred 6 months later, restenosis of the aortic valve was confirmed, and the atrial septal defect yielded a substantially greater left-to-right shunt. This complication of percutaneous transluminal balloon valvuloplasty poses important problems in hemodynamic assesment and operative management of patients who undergo subsequent aortic valve replacement.






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