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[Percutaneous closure of a very large atrial septal defect: a case report and literature review]
- Source :
- Giornale italiano di cardiologia (2006). 19(10)
- Publication Year :
- 2018
-
Abstract
- Percutaneous transcatheter closure of ostium secundum atrial septal defects (ASD) is the gold-standard treatment, because of a comparable efficacy and less complications than heart surgery. Nevertheless, percutaneous treatment of very large ASD is still considered a challenging procedure and is discouraged for diameters larger than 38 mm, especially when atrial septal rims are absent. These patients are characterized by more frequent complications when a percutaneous approach is attempted. Hence, the treatment of choice is still debated. We report the case of a 75-year-old Caucasian male, admitted for congestive heart failure secondary to a very large ASD. After accurate sizing with transesophageal echocardiography and sizing balloon, percutaneous closure with an Amplatzer Septal Occluder was successfully performed, using few simple tricks.
Details
- ISSN :
- 18276806
- Volume :
- 19
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Giornale italiano di cardiologia (2006)
- Accession number :
- edsair.pmid..........f31e5ec2e5e3eb66f9686a0119e27e4a