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Updated: Oct 10, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Steerable control of the eustachian valve during transcatheter closure of secundum atrial septal defects
C J McMahon1, R H Pignatelli, J M Rutledge
1Texas Children's Hospital and Baylor College of Medicine, Houston, Texas 77030, USA.
Abstract:
Over the past decade there has been increased use of transcatheter devices for closure of secundum atrial septal defects. The presence of a large eustachian valve complicating transcatheter closure has not been described. We describe four patients with prominent eustachian valves, in three of whom we employed a simple technique to obtain control of the eustachian valve during device placement using transesophageal echo guidance.
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