A 21-year-old male with a 27-mm atrial septal defect (ASD) underwent an uneventful percutaneous device closure using a 28-mm Ultrasept ASD Occluder with super-low profile (Cardia, Inc., USA) under transoesophageal echocardiography (TEE) guidance. We particularly favoured this kind of occluder device due to the possible future need for catheter atrial septostomy in such a young patient. The use ...

OBJECTIVES This study sought to compare the safety and efficacy of the HELEX septal occluder (HSO) with surgical repair of atrial septal defect (ASD). BACKGROUND The HSO is a low-profile, double-disk occluder device for percutaneous closure of secundum ASD. METHODS Patients were enrolled (HSO arm prospectively, surgery arm prospectively/retrospectively) from 14 U.S. sites and followed up fo...

To cite: Bhattacharyya PJ. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-217817 DESCRIPTION A 50-year-old woman with no cardiovascular risk factors was evaluated for easy fatigability and progressive dyspnoea on exertion for the last 1 year. Cardiac auscultation revealed a normal first heart sound, an ejection systolic murmur at the upper left sternal bord...

BACKGROUND This study assesses the relationship between septal curvature and mean pulmonary artery pressure and indexed pulmonary vascular resistance in children with pulmonary hypertension. We hypothesized that septal curvature could be used to estimate right ventricular afterload and track acute changes in pulmonary hemodynamics. METHODS AND RESULTS Fifty patients with a median age of 6.7 y...

The septal angle, an angle between the interventricular septum and the line connecting the sternum midpoint and thoracic vertebral spinous process, as measured by computed tomographic pulmonary angiography (CTPA), has been observed to be increased in patients with pulmonary hypertension (PH), but its meaning remains unclear. The aim of this study was to investigate the potential role of the sep...

Transcatheter closure of perimembranous and muscular ventricular septal defect (VSD) has been performed widely and it has more advantages compare to surgery. However, transcatheter closure of residual VSD post operation of complex congenital heart disease is still challenging because of the complexity of anatomy and concern about device stability, so the operator should meticulously choose the ...

BACKGROUND Patent ductus arteriosus (PDA) is a common form of congenital heart disease and forms about 5-10% of congenital heart diseases. Surgical closure is safe and effective; however, certain patients may experience some morbidity. Recently, transcatheter closure of PDA using the Amplatzer duct occluder has been shown to be safe and efficacious. OBJECTIVES To evaluate whether transcathete...

Atrial septal defect (ASD) is one of the most common types congenital heart defects. Percutaneous closure ASD relatively safe and accepted as an alternative to surgery. However, device-related complications can occur rarely. Embolization Amplatzer atrial occluder (ASO) major complication percutaneous device closure. The author presents a case early embolization ASO into left atrium, which remov...

The case of a 19-year-old female with a neonatal diagnosis of Tetralogy of Fallot and complete atrioventricular (AV) septal defect is described. She had had a corrective surgery at the age of 6. She did well afterwards despite recent complain of fatigability with mild arterial hypoxaemia. Transoesophageal echocardiography depicted a 12 mm atrial septal defect (ASD) with a bidirectional shunt, w...

Over the past decade, transcatheter interventions have become increasingly important in the treatment of patients with congenital heart lesions. These procedures may be broadly grouped as dilations (e.g., septostomy, valvuloplasty, angioplasty, and endovascular stenting) or as closures (e.g., vascular embolization and device closure of defects). Balloon valvuloplasty has become the treatment of...