Related Experiment Video
Updated: Jul 27, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transcatheter PFO closure with a prominent Eustachian valve
D Skowasch1, M Peuster, R Andrié
1Department of Cardiology, Heart Center University of Bonn, Sigmund-Freud-Str. 25, 53105 Bonn, Germany.
A 57-year-old woman underwent successful patent foramen ovale (PFO) closure. A Helex Septal Occluder was used due to complex atrial anatomy and a prominent Eustachian valve, ensuring safe device implantation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Patent Foramen Ovale (PFO) closure is a common interventional cardiology procedure.
- Complex atrial anatomy presents challenges for device implantation and patient outcomes.
- Prominent Eustachian valves can interfere with standard occluder device placement.
Observation:
- A 57-year-old female patient presented with a PFO requiring closure.
- The patient exhibited complex atrial anatomy.
- A prominent Eustachian valve was noted, posing a potential risk to device deployment.
Findings:
- Successful PFO closure was achieved using a Helex Septal Occluder.
- The Helex device was chosen specifically to mitigate risks associated with the prominent Eustachian valve.
- The implantation procedure was technically successful without immediate complications.
Implications:
- This case highlights the successful use of the Helex Septal Occluder in a challenging anatomical scenario.
- It demonstrates the importance of selecting appropriate devices based on individual patient anatomy for PFO closure.
- The findings contribute to the understanding of device selection and procedural success in complex PFO cases.
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