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- Publisher
- Oxford University Press
- Copyright
- © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.
- eISSN
- 2514-2119
- DOI
- 10.1093/ehjcr/ytac377
- Publisher site
- See Article on Publisher Site
Abstract
BackgroundSevere residual shunts after percutaneous closure of atrial septal defects are unusual. These patients are usually considered candidates for surgery.Case summaryWe describe the transjugular closure of a residual atrial septal defect with significant left-to-right shunt due to a malpositioned large atrial septal device in a symptomatic 74-year-old female. Transjugular access was chosen first due to the unfavourable position of the device for delivery of a new one from the femoral approach. An overlapping Figulla® Flex II 27/30 mm PFO device was successfully implanted with the guidance of 3D-transoesophageal echocardiography.DiscussionThis case demonstrates the safety and feasibility of transjugular access as an alternative to femoral or transhepatic approaches in patients with difficult atrial septal anatomies, who are usually referred for surgery.
Journal
European Heart Journal - Case Reports – Oxford University Press
Published: Sep 15, 2022
Keywords: Atrial septal defect; Transoesophageal echocardiography; Imaging; Three-dimensional imaging; Case report