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

AUTHORS

avatar Zahra Khajali ORCID 1 , avatar Ata Firouzi ORCID 1 , avatar Mohamad Sadra Nazari ORCID 2 , avatar Maryam Keshavarz Hedayati ORCID 1 , avatar Fateme Jorfi ORCID 1 , avatar Azin Alizadehasl ORCID 1 , * , avatar Fatemeh Zohrian ORCID 1

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

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

How to Cite: Khajali Z, Firouzi A , Nazari M S, Keshavarz Hedayati M, Jorfi F, et al. Transcatheter Closure of Patent Foramen Ovale in A Patient with Aneurysmal Atrial Septum and Multifenestrated Atrial Septal Defect. Int Cardio Res J. 2020;14(4):e105745.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 14 (4); e105745
Published Online: December 15, 2020
Article Type: Case Report
Received: May 24, 2020
Accepted: July 25, 2020
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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.

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References

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© 2020, Shiraz University of Medical Sciences.
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