An atrial septal aneurysm may be associated with a patent foramen ovale. When paradoxical emboli result, the shunt must be closed and the atrial septal aneurysm excised. A reversed buttoned occluder device was successfully used for the transcatheter treatment of this condition.

UNLABELLED The case report of a 15-year-old patient with an unusual form of atrial septal defect is described. Echocardiography showed separation of the secundum and primum atrial septums due to abnormal posterior and leftward attachment of the primum septum into the roof of the left atrium. The morphology has been variably described as a 'double' atrial septum or 'spiral' atrial septal defect....

rious complications after esophagectomy, and it occurs in 5%–29% of patients [1]. Although there are no standardizedmethods for treating intrathoracic leakage, the treatment options include surgery, external drainage, and endoscopic treatment. A 68-year-oldmanwas hospitalizedwith a mild cough associatedwith oral intake. He had been diagnosed with squamous cell carcinoma of the esophagus 18 mont...

OBJECTIVES The aim of this study is to evaluate our clinical experience using an Amplatzer septal occluder for catheter closure of a secundum atrial septal defect under transthoracic echocardiography guidance without general anaesthesia. METHODS Patients eligible for transcatheter atrial septal defect closure were selected using transthoracic echocardiography. The largest defect diameter meas...

This case report describes a modification in the technique of atrial septal device closure in a patient with atrial septal defect (ASD) with associated atrial septum aneurysm and significant left-to-right shunt through multiple perforations. Graded balloon dilatation of the aneurysm was performed in this patient, as a preamble to successful deployment of a single large Amplatzer atrial septal o...

Transcatheter closure of secundum atrial septal defect has become an alternative to surgery. We present a patient with hemodynamic collapse secondary to cardiac perforation occurring 36 h after the placement of an Amplatzer Septal Occluder and discuss complications of this kind of device.

INTRODUCTION The Amplatzer septal occluder is frequently used for percutaneous closure of an atrial septal defect. Complications include thrombosis and embolism, dislocation, cardiac perforation, and, rarely, infection. We report the case of a patient who had survived an occluder-related thromboembolism two years previously. CASE PRESENTATION A 72-year-old Caucasian woman had received a septa...