Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report
Autor: | Giuseppina Novo, Salvatore Evola, Oreste Fabio Triolo, Eustaquio Onorato |
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Přispěvatelé: | Evola S., Triolo O.F., Novo G., Onorato E.M. |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Transoesophageal echocardiography business.industry medicine.medical_treatment Septum secundum medicine.disease Atrial septal defects Pulmonary vein Surgery Catheter medicine.anatomical_structure Atrial septal rims deficiency Heart failure Case report medicine Patent foramen ovale Atrial septal defect AcademicSubjects/MED00200 Transcatheter closure Embolization Atrium (heart) Atrial septal defect Atrial septal rims deficiency Case report Transcatheter closure Transoesophageal echocardiography Cardiology and Cardiovascular Medicine business |
Zdroj: | European Heart Journal: Case Reports |
Popis: | 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. |
Databáze: | OpenAIRE |
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