Heart failure after transvenous closure of atrial septal defect associated with atrial standstill and thiamine-responsive megaloblastic anemia


Doǧan V., Şenocak F., ÖRÜN U. A., Ceylan Ö.

Turk Kardiyoloji Dernegi Arsivi, cilt.41, sa.7, ss.638-641, 2013 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 41 Sayı: 7
  • Basım Tarihi: 2013
  • Doi Numarası: 10.5543/tkda.2013.63295
  • Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.638-641
  • Anahtar Kelimeler: Anemia, megaloblastic, atrial standstill, child, electrocardiography, heart failure/etiology, heart septal defects, atrial, thiamine
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Despite advances in device closure for atrial septal defect, post-closure heart failure remains a clinical problem in adult patients but is seen only rarely in children. An eight-year-old boy, who had been followed by a local pediatrician with the diagnosis of diabetes melli-tus and congenital heart disease, was consulted to us for cardiac re-evaluation. Electrocardiography demonstrated absent P waves, and echocardiography revealed enlargement of the right ventricle and both atria and secundum atrial septal defect. With the diagnosis of atrial standstill, secundum atrial septal defect and thiamine-responsive megaloblastic anemia, acute heart failure developed after transvenous closure of the atrial septal defect, which improved dramatically with thiamine and supportive treatment. © 2013 Turkish Society of Cardiology.