Transcatheter Closure of Patent Foramen Ovale in A Patient with Aneurysmal Atrial Septum and Multifenestrated Atrial Septal Defect

Zahra Khajali; Ata  Firouzi; Mohamad Sadra Nazari; Maryam Keshavarz Hedayati; Fateme Jorfi; Azin Alizadehasl; Fatemeh Zohrian

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Transcatheter Closure of Patent Foramen Ovale in A Patient with Aneurysmal Atrial Septum and Multifenestrated Atrial Septal Defect

Author(s):

Zahra Khajali

¹,

Ata Firouzi

¹,

Mohamad Sadra Nazari

²,

Maryam Keshavarz Hedayati

¹,

Fateme Jorfi

¹,

Azin Alizadehasl

^1,*,

Fatemeh Zohrian

¹

1Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran

2Sina Hospital, Tehran University of Medical Sciences, Tehran, IR Iran

International Cardiovascular Research Journal:Vol. 14, issue 4; e105745

Published online:Dec 15, 2020

Article type:Case Report

Received:May 24, 2020

Accepted:Jul 25, 2020

How to Cite:Zahra KhajaliAta FirouziMohamad Sadra NazariMaryam Keshavarz HedayatiFateme JorfiAzin AlizadehaslFatemeh Zohrianet al.Transcatheter Closure of Patent Foramen Ovale in A Patient with Aneurysmal Atrial Septum and Multifenestrated Atrial Septal Defect.Int Cardiovasc Res J.14(4):e105745.

Abstract

Introduction:
Treatment of patients with concomitant Patent Foramen Ovale (PFO), Atrial Septal Aneurysm (ASA), and multi fenestrated Atrial Septal Defects (mfASDs) is accompanied by many challenges. There may be even a need for different devices in the atrial septum, which is more challenging and costly.
Case Presentation:
This study aimed to report a case of PFO closure, which turned out to have ASAs and multiple small holes. A Uni occlutech device was used to close the PFO and fenestrations, which was done successfully and without complications.
Conclusions:
It is important to have a thorough evaluation of the atrial septum to rule in or out the possibility of multiple defects. This is done by accurate interrogation of the atrial septum by color Doppler echocardiography, preferably by transesophageal or three-dimensional echocardiography at the time of catheterization. Multiple small defects or fenestrations nearby may be closed by a single device, which may cover several defects or fenestrations.

Keywords

Percutaneous

Patent Foramen Ovale

Multifenestrated Atrial Septal Defect

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