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Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter
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Transcatheter Closure of Complex Multifenestrated Atrial Septal Defect Using Three Septal Occluders: Is Three Too

Hussam Al Hennawi1, Appa Bandi2, Ahmad Abulshamat3

  • 1Department of Internal Medicine, Jefferson Abington Hospital, Abington, Pennsylvania.

Structural Heart : the Journal of the Heart Team
|April 11, 2025
PubMed

Insights

This study demonstrates the successful transcatheter closure of a complex atrial septal defect (ASD) using three overlapping devices. This approach offers a viable solution for challenging multifenestrated ASD cases.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Atrial septal defects (ASDs) are prevalent in adult congenital heart disease.
  • Treatment involves surgical or transcatheter closure for symptomatic patients.
  • Transcatheter repair is established for secundum ASDs.

Purpose of the Study:

  • To report a complex transcatheter closure of an atrial septal defect.
  • To address the challenges posed by multifenestrated secundum ASDs.
  • To showcase the use of overlapping devices for intricate defects.

Main Methods:

  • Transcatheter closure of a complex secundum ASD.
  • Utilized three overlapping Amplazter devices.
  • Described the procedural approach for a multifenestrated defect.

Main Results:

  • Successful transcatheter closure of a complex atrial septal defect was achieved.
  • The use of three overlapping devices proved effective in this challenging case.
  • Demonstrated feasibility of device overlap for multifenestrated ASDs.

Conclusions:

  • Transcatheter closure is a feasible option for complex secundum ASDs.
  • Overlapping device techniques can manage multifenestrated defects.
  • This case highlights a successful strategy for challenging ASD repairs.

Keywords:
Amplatzar septal occluderAtrial septal defectFenestrated atrial septal defects

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