Fenestrated atrial septal defect percutaneously occluded by a single device: procedural and financial considerations

Area of Science:

• Cardiology
• Interventional Cardiology
• Neurology

Background:

• Atrial septal defects (ASDs) can lead to paradoxical embolism and cerebrovascular events.
• Multi-fenestrated ASDs present unique challenges for percutaneous closure.
• Cerebrovascular attack (CVA) is a potential complication of untreated ASDs.

Purpose of the Study:

• To discuss therapeutic options for percutaneous transcatheter closure of multi-fenestrated ASDs.
• To present a case of successful ASD closure in a patient with a history of CVA.
• To review the decision-making process and literature regarding ASD closure.

Main Methods:

• Percutaneous transcatheter closure of a multi-fenestrated ASD.
• Evaluation of various closure devices and techniques.
• Literature review on ASDs and cerebrovascular events.

Main Results:

• Successful closure of a multi-fenestrated ASD was achieved using a single occlusive device.
• The patient's CVA was attributed to the undiagnosed ASD.
• Procedural and financial considerations were evaluated.

Conclusions:

• Percutaneous closure of multi-fenestrated ASDs is a viable therapeutic option.
• Careful patient selection and device choice are crucial for successful outcomes.
• Closure of ASDs can prevent recurrent cerebrovascular events.