Percutaneous Closure of a Large Atrial Septal Defect: A Simplified Approach

Authors

  • Antonis S. Manolis
  • George Andrikopoulos
  • Stylianos Tzeis
  • Dimitris Amorgianos
  • Ioannis Pyrros

DOI:

https://doi.org/10.2015/hc.v1i3.21

Keywords:

atrial septal defect, percutaneous closure, transesophageal echocardiography

Abstract

A 44-year-old female patient presented with easy fatigability, dyspnea on exertion and frequent episodes of migraine. Echocardiography revealed a large atrial septal defect (ASD) of the secundum type. This was further visualized with transesophageal echocardiography (TEE) (Figure, Panel A, arrow).The diameter of the ASD at TEE was measured at 1.93 cm. Pulmonary to systematic flow ratio (Qp/Qs) was calculated at 3.3:1, indicating a significant left-to-right shunt across the ASD. Percutaneous closure of the defect was subsequently undertaken. The diameter of the defect was measured intra-procedurally using an intracardiac balloon and it was found to be 2.6 cm (Panel B).An Amplatzer 9-ASD-032 occluder was successfully implanted percutaneously via the right femoral vein (Panel C, arrow). TEE 48 hours after implantation showed that the closure device was in proper place (Panel D, arrows) and the left-to-right shunt was abolished.

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Issue

Vol. 1 No. 3 (2006)

Section

Special Topic

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