Submitted: 18 May 2019
Revision: 13 Apr 2020
Accepted: 13 Apr 2020
ePublished: 04 Aug 2020
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J Cardiovasc Thorac Res. 2020;12(3): 231-233.
doi: 10.34172/jcvtr.2020.40
  Abstract View: 58
  PDF Download: 66

Case Report

New solution for old challenge: Device closure of non-centrally positioned atrial septal defect

Shamsi Ghaffari 1 ORCID logo, Akbar Molaei 2* ORCID logo, Ahmad Jamei Khosroshahi 1, Rezvaniyeh Salehi 1, Mehrnoush Toufan Tabrizi 1 ORCID logo, Mahmood Samadi 1

1 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Cardiovascular Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Akbar Molaei, Email: akbarmolaie@yahoo.com


Multiple interatrial defects, termed fenestrated ASDs that require closure are not uncommon. The problem arises when a centrally located defect or a patent foramen oval (PFO) is associated with another peripherally located defect. In cases like this, all attempts at crossing the true defect might totally fail or might be difficult because the wire or the catheter crosses the central defect repeatedly despite the use of a sizing balloon. In order to overcome such an issue, we introduce a new technique by which not only the procedure and the fluoroscopy time will be reduced, but also it ceases the mistakes about the number of defects, their size and location.
Keywords: Multiple ASDs, Peripheral ASD, Transcatheter Closure
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