Korean Circ J.  2011 Sep;41(9):549-551. 10.4070/kcj.2011.41.9.549.

Transcatheter Closure of Multiple Atrial Septal Defects With the Amplatzer Device

• Cho MJ
• Song J
• Kim SJ
• Choi EY
• Lee SY
• Shim WS

• KMID: 2094109
• DOI: http://doi.org/10.4070/kcj.2011.41.9.549

Abstract

Percutaneous device occlusion of secundum atrial septal defect (ASD) has become an accepted alternative to surgical repair. A variety of devices have been used successfully. However, all of them have limitations. We report our experience with two devices used to close multiple ASDs.

Keyword

Heart septal defects; Heart catheterization

MeSH Terms

Cardiac Catheterization
Heart Septal Defects
Heart Septal Defects, Atrial

Figure

• 

  Fig. 1 A: intra-cardiac echocardiogram showed another small shunt after closure with the 24 mm Amplatzer septal occluder. Subsequently, another device was successfully implanted. B: the larger ASD was closed using a 24 mm Amplatzer. Once the exact location of the second defect was determined, an 8 mm Amplatzer was introduced with a sheath. After making sure that ASD flow was stopped, the catheter was removed. C: echocardiogram performed 6 month after the procedure showed no change in configurations of the larger device and the atrial septum. Ao: aorta, LA: left atrium, RA: right atrium, ASD: atrial septal defect.

• 

  Fig. 2 A: pre operative cardiac CT. An interatrial septal defect was found. Defects were found in three different places, and the first two defects were separated by an intervening septum of 3.5 mm. The largest ASD measured 13 mm in size without a retro aortic rim (thick arrow). The widest diameter of first and second ASD combined was 25 mm. The third ASD was located 7 mm away from the second ASD, and was 8 mm in size and appeared round in shape (thin arrow). B: post operative cardiac CT. A 35 mm cribriform Amplatzer device (thick arrow) was used to close the first and second ASD. Subsequently, the third ASD was closed with a 12 mm Amplatzer device (thin arrow). Ao: aorta, RA: right atrium, RV: right ventricle, SVC: superior vena cava, LA: left atrium, ASD: atrial septal defect.

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