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Updated: Jun 3, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Double atrial septal defect: diagnosis and closure guidance with 3D transesophageal echocardiography
Bruce T Kuo1, Matthew G Whitbeck, John C Gurley
1Gill Heart Institute and Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky, USA. bruce.kuo@uky.edu
Insights
Atrial septal defect (ASD) is a common congenital heart condition. This case study details the successful closure of two large separate ostium secundum defects using 3D transesophageal echocardiography guidance.
Area of Science:
- Cardiology
- Medical Imaging
- Congenital Heart Disease
Background:
- Atrial septal defect (ASD) is a prevalent congenital heart anomaly often diagnosed in adulthood.
- Timely intervention is crucial for managing ASD complications.
Observation:
- A patient presented for routine percutaneous ASD closure.
- Three-dimensional transesophageal echocardiography revealed two distinct, large ostium secundum defects.
Findings:
- The patient had two separate, large ostium secundum ASDs.
- Both defects were successfully closed percutaneously under 3D echocardiographic guidance.
Implications:
- 3D transesophageal echocardiography enhances the detection and characterization of complex ASDs.
- This imaging modality is valuable for guiding percutaneous closure of multiple ASDs.
- Accurate defect assessment is critical for successful ASD intervention.
Abstract:
Atrial septal defect (ASD) is a common form of congenital heart disease that often persists well into adulthood before discovery or intervention. The authors report the case of a patient referred for routine percutaneous ASD closure that was found on three-dimensional (3D) transesophageal echocardiography to have two large separate ostium secundum defects which were subsequently closed under 3D echocardiographic guidance.
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