scholarly journals Utility of Eustachian valve for facilitating ASD device closures in defects with borderline mitral rims

Author(s):  
Harikrishnan Kurup ◽  
Arun Gopalakrishnan ◽  
Deepa Sasikumar ◽  
Venkatesh Gurajala ◽  
Kavasseri Krishnamoorthy

A prominent Eustachian valve in the right atrium has been reported to pose significant challenges during device closure of atrial septal defects. We describe the procedural aspects of device closure in an ASD with deficient rims and a redundant Eustachian valve. The prominent Eustachian valve provided extra stability in the anteroinferior aspect during device deployment and hence proved to be helpful for the procedure. It is important to consider this aspect while planning device closure

2010 ◽  
Vol 20 (1) ◽  
pp. 86-88 ◽  
Author(s):  
Nicole de Winkel ◽  
Karen Becker ◽  
Manfred Vogt

AbstractWe describe a neonate who presented with an echogenic mass in the right atrium 8 weeks after closure of ventricular and atrial septal defects. On a routine post operative check up after discharge, a mass was detected in the right atrium on echocardiography. As a thrombotic formation was suggested, lysis was started, in combination with the administration of unfractioned heparin. As there was no change in echogenicity or size of the mass, it was surgically excised. Histopathological examination revealed a myofibroblastic inflammatory tumour.


2014 ◽  
Vol 35 (7) ◽  
pp. 1181-1190 ◽  
Author(s):  
Michael L. O’Byrne ◽  
Andrew C. Glatz ◽  
Sherzana Sunderji ◽  
Aswathi E. Mathew ◽  
David J. Goldberg ◽  
...  

2020 ◽  
pp. 1-3
Author(s):  
Christopher Herron ◽  
Daisuke Kobayashi

Abstract Transcatheter device closure of an atrial septal defect (ASD) may require an additional supportive technique in challenging cases. We report a 15-year-old male with moderate-sized ASD and severe scoliosis. In spite of adequate positioning of the Gore Cardioform ASD occluder, the device was pulled into the right atrium by a retrieval cord due to the acute release of strong tension between the delivery catheter and its device upon locking. This phenomenon was prevented by the use of Mullins sheath, resulting in a successful release of the device. The use of a Mullins sheath may be considered to deliver a Gore Cardioform ASD device in selected cases.


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