The present study investigated the feasibility of totally transthoracic echocardiography-guided percutaneous device occlusion of atrial septal defects (ASDs) without using x-ray equipment.Between September and December 2014, we performed totally transthoracic echocardiography-guided percutaneous device occlusion for 20 patients with secundum ASD without using x-ray equipment. We carried out per...

Two patients with long tunnel-type patent foramen ovale presented for elective transcatheter closure following transient ischaemic attack and stroke. Right to left shunting was confirmed on transthoracic and transoesophageal echocardiography. A new technique that used a transseptal procedure was devised to enable closure of the tunnel-type patent foramen ovale using the CardioSEAL transseptal o...

Swiss-cheese atrial septal defect (ASD) is a malformation characterized by multi-fenestrated interatrial defects. Here, we describe vignette of 23-year-old man with Swiss-Cheese ASD two defects areas 0.74 cm2 and 0.44 cm2, complicated an aneurysm successfully repaired cribriform amplatzer occluder (ASO) via the percutaneous transcatheter approach. This case emphasizes importance attaining clear...

We describe a 17-year-old patient with an atrial septal defect who underwent device closure with a second generation Sideris buttoned device at 4 years of age. She presented 13 years after the procedure with the acute onset of chest discomfort, at which time a chest radiograph showed migration of the wire of the right atrial counter-occluder to the lateral aspect of the right atrial wall, with ...

Acute device thrombosis is a rare but important complication after transcatheter atrial septal defect closure. In this case a mobile thrombus was noted on the left side of an Amplatzer atrial septal occluder after device release in a 12 year old boy with an uncomplicated atrial septal defect. The thrombus was successfully treated with an infusion of heparin and the glycoprotein IIa/IIIb recepto...

Gamillscheg et al. report on a single patient who had a large pulmonary arteriovenous malformation with significant right-to-left shunting and a cerebrovascular accident secondary to presumed paradoxic embolism. The accompanying still-frame cineangiogram demonstrates a large arteriovenous malformation with a 10-mm feeding artery and no obvious narrowing, making it difficult to provide endovascu...

We report the case of a 69-year-old woman admitted for recurrent left atrial appendage (LAA) thrombosis occurring 8 months after implantation of an Amplatzer Cardiac Plug device. The indication for LAA closure was paroxysmal atrial fibrillation with high thromboembolic risk (CHA 2 DS 2 -Vasc score, 4) and a history of intracranial bleeding 6 months previously under vitamin K antagonist with an ...

BACKGROUND Atrioventricular block (AVB) is a well-reported complication after closure of perimembranous ventricular septal defects (VSDs). To report the occurrence of AVB either during or following closure of perimembranous VSDs using a novel "hybrid" method involving a minimal inferior median incision and of intraoperative device closure of the perimembranous VSDs. METHODS Between January 20...

Objective: To compare the safety and efficacy of percutaneous closure of patent foramen ovale (PFO) with the Amplatzer PFO occluder (Amplatzer) or the PFO STAR device (STAR) in patients with presumed paradoxical embolism. Methods: Implantation characteristics, procedural complications, residual shunt, and recurrence of thromboembolic events were recorded prospectively in 100 consecutive patient...