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Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report.

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.

SUBMITTER: Evola S

PROVIDER: S-EPMC7898564 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Catheter-based closure of a large atrial septal defect with inferior rim deficiency using pulmonary vein slide-out assisted implantation technique: a case report.

Evola Salvatore S Triolo Oreste Fabio OF Novo Giuseppina G Onorato Eustaquio Maria EM

European heart journal. Case reports 20210208 2

<h4>Background</h4>Transcatheter approach for large and complex atrial septal defects may represent a therapeutic challenge, particularly when the postero-inferior rim is deficient and floppy.<h4>Case summary</h4>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.<h4>Discussion</h4 ...[more]

PMID: 33644664

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