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Case Reports
. 2011 Nov 9;5(1):e58-e60.
doi: 10.1016/j.jccase.2011.10.001. eCollection 2012 Feb.

A case report of percutaneous successful closure of multiple atrial septal defect

Lili Jia  1 , Zhenwen Yang  1 , Xin Du  1 , Zheng Wan  1 , Canliang Huang  1
Affiliations
Case Reports

A case report of percutaneous successful closure of multiple atrial septal defect

Lili Jia et al. J Cardiol Cases. .

Abstract

A 50-year-old male patient with a secundum-type atrial septal defect (ASD) suffering from respiratory distress for 7 days was referred to our hospital. Transthoracic echocardiography demonstrated the defects of 9 mm and 4 mm in the middle atrial septum in the parasternal four-chamber view. However, we found not 2, but 6 atrial defects by using real time 3-dimensional transesophageal echocardiography. Open heart surgery was not indicated, because his pulmonary function was poor. After fully informed consent, we decided to treat ASD with Amplatzer septal occluders.

Keywords: Amplatzar septal occluder; Atrial septal defect; Real time 3-dimensional transoesophageal echocardiography.

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Figures

Figure 1
Figure 1
Real time 3-dimensional transesophageal echocardiography showed 6 holes in the interatrial septum, the biggest one was in the inferoposterior of the interatrial septum (double arrow), the other 5 were around the biggest hole (single arrow).
Figure 2
Figure 2
After occlusion of the biggest defects with a 28 mm occluder, there was still 7 mm residual shunt. ASO, Amplatzer septal occluder; LA, left atrium; RA, right atrium.
Figure 3
Figure 3
Real time 3-dimensional transesophageal echocardiography showed the two occluders.
See this image and copyright information in PMC

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