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.

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