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Case Reports
. 2022 Apr 30;6(5):233-236.
doi: 10.1016/j.case.2022.03.008. eCollection 2022 Jul.

Limitations of Percutaneous Closure of a Complex Secundum Atrial Septal Defect

M Scott Binder  1 , Isabel E Binder  2 , Jason R Foerst  3
Affiliations
Case Reports

Limitations of Percutaneous Closure of a Complex Secundum Atrial Septal Defect

M Scott Binder et al. CASE (Phila). .
No abstract available

Keywords: 3D echocardiography; Atrial septal defect; Echocardiography procedural Guidance; Pulmonary hypertension.

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Figures

None
Graphical abstract
Figure 1
Figure 1
A subcostal view of the ASD revealing an approximate size of 2.03 cm and predominant left-to-right shunting across the ASD on color flow Doppler.
Figure 2
Figure 2
Three-dimensional TEE image of the secundum ASD, demonstrating an oval shape with very large size, 38 × 28mm.
Figure 3
Figure 3
Two-dimensional TEE midesophageal images of the secundum ASD, measured at 0° (left) and 55° (right). Maximal orthogonal dimensions were similar at 36 mm and 40 mm, respectively.
Figure 4
Figure 4
Two-dimensional TEE color Doppler imaging, demonstrating very little aortic rim tissue present.
Figure 5
Figure 5
Percutaneous closure attempt of the ASD, with residual shunting (white arrow) visualized around the 34 mm sizing balloon during maximal inflation (red arrow). LA, Left atrium; RA, right atrium.
Figure 6
Figure 6
Color Doppler after bovine pericardial patch repair of the ASD, with no residual shunt visualized.
See this image and copyright information in PMC

References

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