Percutaneous Closure of a Cribriform Secundum Atrial Septal Defect and Patent Foramen Ovale

Area of Science:

• Cardiology
• Interventional Cardiology
• Congenital Heart Disease

Background:

• Atrial septal defects (ASDs) and patent foramen ovale (PFO) are prevalent congenital heart conditions.
• These defects are associated with an elevated risk of ischemic stroke.
• Surgical intervention for ASDs carries significant risks.

Observation:

• A patient presented with a symptomatic cribriform secundum ASD and coexisting PFO.
• The defect anatomy was complex, posing a challenge for standard closure methods.

Findings:

• Successful percutaneous closure of the complex ASD and PFO was achieved.
• Two Amplatzer occluder devices were utilized in a novel

Implications:

• Percutaneous closure is a safe and effective alternative to surgery for ASDs and PFOs.
• The "sandwich technique" offers a viable solution for complex defects.
• This approach may reduce stroke risk in patients with these cardiac malformations.