6533b829fe1ef96bd128acf5
RESEARCH PRODUCT
Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report
Giuseppina NovoSalvatore EvolaOreste Fabio TrioloEustaquio Onoratosubject
medicine.medical_specialtyTransoesophageal echocardiographybusiness.industrymedicine.medical_treatmentSeptum secundummedicine.diseaseAtrial septal defectsPulmonary veinSurgeryCathetermedicine.anatomical_structureAtrial septal rims deficiencyHeart failureCase reportmedicinePatent foramen ovaleAtrial septal defectAcademicSubjects/MED00200Transcatheter closureEmbolizationAtrium (heart)Atrial septal defect Atrial septal rims deficiency Case report Transcatheter closure Transoesophageal echocardiographyCardiology and Cardiovascular Medicinebusinessdescription
Abstract Background Transcatheter approach for large and complex atrial septal defects may represent a therapeutic challenge, particularly when the postero-inferior rim is deficient and floppy. Case summary Here, we describe a successful catheter-based closure of a large (>30 mm) secundum atrial septal defect associated with postero-inferior rim deficiency in a 35-year-old female with congestive heart failure using pulmonary vein slide-out assisted implantation technique. Discussion Inferior–posterior rim deficiency is a well-known risk factor for device instability or embolization. Transcatheter closure may represent a safe and effective alternative to the traditional surgical approach provided that modified implantation techniques are employed.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-02-01 |