Published online February 1, 2007
PEDIATRICS Vol. 119 No. 2 February 2007, pp. 398-400 (doi:10.1542/10.1542/peds.2006-2329)
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EXPERIENCE & REASON

Percutaneous Device Closure of Atrial Septal Defect in a Premature Infant With Rapid Improvement in Pulmonary Status

D. Scott Lim, MD and G. Paul Matherne, MD

Department of Pediatrics, University of Virginia, Charlottesville, Virginia

ABSTRACT

Atrial septal defects are a common congenital heart defect and may complicate the course of a premature infant by imposing volume overload to the lungs. Surgical closure requires cardiopulmonary bypass and, frequently, a midline sternotomy. Recently, percutaneous transcatheter devices were approved for atrial septal defect closure but have been limited to use in larger children. Here we present the first known report of a transcatheter device closure of an atrial septal defect in a premature infant, which resulted in rapid improvement of the patient's respiratory status.

Key Words: atrial septal defect • premature infant • cardiac catheterization

Abbreviations: ASD, atrial septal defect

Accepted Oct 3, 2006.


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