Percutaneous closure of patent foramen ovale and atrial septal defect
A 67-year old man with a hemodynamically significant type secundum atrial septal defect (ASD), large patent foramen ovale (PFO) and significant septal aneurism presented with shortness of breath and limited exercise tolerance. There was no evidence of additional structural abnormalities nor signific...
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2020-01-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | https://vestnik.szd.si/index.php/ZdravVest/article/view/2872 |
| _version_ | 1818269856229752832 |
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| author | Maja Rojko, MD Nataša Černič Šuligoj, MD Metka Zorc, MD, PhD Saibal Kar, MD Marko Noč, MD, PhD |
| author_facet | Maja Rojko, MD Nataša Černič Šuligoj, MD Metka Zorc, MD, PhD Saibal Kar, MD Marko Noč, MD, PhD |
| author_sort | Maja Rojko, MD |
| collection | DOAJ |
| description | A 67-year old man with a hemodynamically significant type secundum atrial septal defect (ASD), large patent foramen ovale (PFO) and significant septal aneurism presented with shortness of breath and limited exercise tolerance. There was no evidence of additional structural abnormalities nor significant coronary artery disease. Simultaneous percutaneous closure of both defects was planned. Since the wire could have been passed only through PFO and the second wire not through the ASD, only PFO was closed with 35 mm Amplatz PFO occluder. After 3 months, which served for tissue ingrowth of Amplatz PFO occluder and aneurism stabilization, ASD located in posterior-inferior part of fossa ovalis documented by three-dimensional transesophageal echocardiography (3D-TEE) was easily crossed and successfully closed with a 12 mm Amplatz ASD occluder. Stable position without unwanted interference between the devices was obtained. There was noresidual shunting on color Doppler and no bubble shunting during Valsalva maneuver. Within 6 months after the procedure, symptoms significantly improved and right heart chambers decreased. 3D-TEE revealed both devices in good position with only trivial shunting through PFO occluder documented by color Doppler. |
| first_indexed | 2024-12-12T21:01:02Z |
| format | Article |
| id | doaj.art-4655065216a341ba81a02ad9589d4ecc |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-12T21:01:02Z |
| publishDate | 2020-01-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-4655065216a341ba81a02ad9589d4ecc2022-12-22T00:12:08ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242020-01-018811-1257658110.6016/ZdravVestn.28722872Percutaneous closure of patent foramen ovale and atrial septal defectMaja Rojko, MD0Nataša Černič Šuligoj, MD1Metka Zorc, MD, PhD2Saibal Kar, MD3Marko Noč, MD, PhD4International heart center MedicorInternational heart center Medicor, Department of internal medicine - General hospital IzolaInternational heart center MedicorInternational heart center Medicor, Cardiovascular Interventional Center Cedars-Sinai Heart InstituteInternational heart center Medicor, Center for intensive internal medicine University medical center LjubljanaA 67-year old man with a hemodynamically significant type secundum atrial septal defect (ASD), large patent foramen ovale (PFO) and significant septal aneurism presented with shortness of breath and limited exercise tolerance. There was no evidence of additional structural abnormalities nor significant coronary artery disease. Simultaneous percutaneous closure of both defects was planned. Since the wire could have been passed only through PFO and the second wire not through the ASD, only PFO was closed with 35 mm Amplatz PFO occluder. After 3 months, which served for tissue ingrowth of Amplatz PFO occluder and aneurism stabilization, ASD located in posterior-inferior part of fossa ovalis documented by three-dimensional transesophageal echocardiography (3D-TEE) was easily crossed and successfully closed with a 12 mm Amplatz ASD occluder. Stable position without unwanted interference between the devices was obtained. There was noresidual shunting on color Doppler and no bubble shunting during Valsalva maneuver. Within 6 months after the procedure, symptoms significantly improved and right heart chambers decreased. 3D-TEE revealed both devices in good position with only trivial shunting through PFO occluder documented by color Doppler.https://vestnik.szd.si/index.php/ZdravVest/article/view/2872atrial septal defectpatent foramen ovalepercutaneous closure |
| spellingShingle | Maja Rojko, MD Nataša Černič Šuligoj, MD Metka Zorc, MD, PhD Saibal Kar, MD Marko Noč, MD, PhD Percutaneous closure of patent foramen ovale and atrial septal defect Zdravniški Vestnik atrial septal defect patent foramen ovale percutaneous closure |
| title | Percutaneous closure of patent foramen ovale and atrial septal defect |
| title_full | Percutaneous closure of patent foramen ovale and atrial septal defect |
| title_fullStr | Percutaneous closure of patent foramen ovale and atrial septal defect |
| title_full_unstemmed | Percutaneous closure of patent foramen ovale and atrial septal defect |
| title_short | Percutaneous closure of patent foramen ovale and atrial septal defect |
| title_sort | percutaneous closure of patent foramen ovale and atrial septal defect |
| topic | atrial septal defect patent foramen ovale percutaneous closure |
| url | https://vestnik.szd.si/index.php/ZdravVest/article/view/2872 |
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