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Updated: May 19, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Cupping of the left atrial disc: a new echocardiographic pointer towards atrial septal defect-device mismatch
Zdenka Reinhardt1, Aidan P Bolger, Christopher Duke
1East Midlands Congenital Heart Centre, Glenfield Hospital, Leicester, UK. nzr3@doctors.org.uk
Abstract:
We report a case of percutaneous atrial septal defect closure (ASD) in which, despite careful device selection and successful shunt closure, a number of adverse echocardiographic features developed, necessitating surgical extraction of the device and patch closure of the defect. Lessons regarding case selection, device choice, appropriate follow-up and recognition of adverse echocardiographic features can be learned from this experience.
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