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Transcatheter closure of a multiperforated atrial septal defect extending from the oval fossa to the mouth of the inferior caval vein

Published online by Cambridge University Press:  18 April 2005

Matthias Peuster
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, D-37075 Goettingen, Germany
Julia Reckers
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, D-37075 Goettingen, Germany
Christoph Fink
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, D-37075 Goettingen, Germany

Abstract

We report a novel technique using an Amplatzer atrial septal occluder to close a defect located in the inferior-posterior portion of the interatrial septum that extended into the mouth of the inferior caval vein. Because of the close relation of the defect to the inferior caval vein, the right atrial disc was opened into the inferior caval vein and pushed toward the right atrium by use of the delivery cable. There was no residual shunting immediately and 3 months after the intervention. We conclude that even defects located infero-posteriorly within the oval fossa may be successfully closed by transcatheter techniques using the Amplatzer device.

Type
Brief Report
Copyright
© 2003 Cambridge University Press

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References

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Transcatheter closure of a multiperforated atrial septal defect extending from the oval fossa to the mouth of the inferior caval vein
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