Spontaneous embolization of an atrial septal defect occluder device into the left ventricular outflow tract in a patient with pulmonary stenosis.
Mustafa AgcaAbdulrahman NaserAhmet GunerAlev KılıcgedikMehmet CelikTaylan AkgunEmine AlpayMehmet YanartasGokhan KahveciPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
A 24-year-old man was admitted to our outpatient clinic for his routine checkup of consecutively percutaneously treated atrial septal defect (ASD) and pulmonary valvular stenosis 45 days ago. A 24 mm ASD occluder device was implanted under transthoracic echocardiographic guidance and 80 mm Hg peak-to-peak pulmonary valvular gradient decreased to 20 mm Hg gradient after pulmonary valve dilatation with 23 mm NUMED II transluminal valvuloplasty catheter balloon. Atrial septal defect (ASD) closure is now routinely performed using a percutaneous approach under echocardiographic guidance especially transthoracic echocardiography (TEE). Centrally located, ostium secundum type and less than 3.5 cm in size are considered ideal for device closure. Although there is considerable variation in size and location of the defects, TEE guidance is quite important for this proportion of ASDs. The selection of patients for percutaneous transcatheter closure of a secundum ASD requires accurate information regarding the anatomy of the defect such as its maximal diameter and the amount of circumferential tissue rims.
Keyphrases
- pulmonary hypertension
- left ventricular
- autism spectrum disorder
- atrial fibrillation
- left atrial
- ejection fraction
- aortic stenosis
- mitral valve
- attention deficit hyperactivity disorder
- aortic valve
- end stage renal disease
- intellectual disability
- newly diagnosed
- ultrasound guided
- minimally invasive
- chronic kidney disease
- primary care
- acute myocardial infarction
- transcatheter aortic valve implantation
- hypertrophic cardiomyopathy
- catheter ablation
- case report
- prognostic factors
- high resolution
- radiofrequency ablation
- living cells
- mass spectrometry
- body composition
- percutaneous coronary intervention
- health information
- optical coherence tomography
- working memory
- patient reported