Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report. Issue 2 (8th February 2021)

• Record Type: Journal Article
• Authors: Evola, Salvatore; Triolo, Oreste Fabio; Novo, Giuseppina; Onorato, Eustaquio Maria
• Editors: Krupickova, Sylvia; Puricelli, Filippo; Houshmand, Golnaz; Abushouk, Abdelrahman Ibrahim; Kott, Katharine
• Is Part Of: European heart journal. Volume 5:Issue 2(2021)
• Publication Date: 2021-02-08
• Subjects: Atrial septal defect -- Transcatheter closure -- Transoesophageal echocardiography -- Atrial septal rims deficiency -- Case report; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytab016
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: 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.