Fluoroscopic Notching of Left Atrial Disc – A Sign of Prolapse

Authors

  • Sharath Reddy Annam Department of Cardiology, Sunshine Heart Institute, Paradise SD Road, Secunderabad, Hyderabad, Andhra Pradesh – 500003, India
  • Sampath Kumar Potham Department of Cardiology, Sunshine Heart Institute, Paradise SD Road, Secunderabad, Hyderabad, Andhra Pradesh – 500003, India
  • Ashok Thakkar Department of Clinical Trials, Sahajanand Medical Technologies Pvt. Ltd., Surat, Gujarat -395004, India

DOI:

https://doi.org/10.12970/2311-052X.2014.02.03.2

Keywords:

 Transesophageal echocardiography, transthoracic echocardiography, fluoroscopy, atrial septal defect.

Abstract

Transesophageal echocardiography has been used throughout the procedure of transcatheter closure of atrial septal defect due to high resolution images as well as superior operator comfort in assessing device position. However, the centers, lacking the facility of intra-procedural transesophageal echocardiography, carry out the procedure using transthoracic echocardiography which may have higher chances of device malposition. In this case-series, we describe fluoroscopic features of device position or malposition which would prove beneficial to the centers in assessing device position in the transcatheter closure of atrial septal defect performed using transthoracic echocardiography.

References

Sadiq N, Ullah M, Sultan M, et al. Transthoracic echocardiography as a measuring and guiding tool for transcatheter device closure of secundum atrial septal defect in young children. J Invas Cardiol 2014; 26(6): 245-8.

King TD, Thompson SL, Steiner C, et al. Secundum atrial septal defect. Nonoperative closure during cardiac catheterization. JAMA 1976; 235(23): 2506-9. http://dx.doi.org/10.1001/jama.1976.03260490024013

Albers E, Janssen D, Ammons D, et al. Percutaneous closure of secundum atrial septal defects. Progr Pediat Cardiol 2012; 33(2): 115-23. http://dx.doi.org/10.1016/j.ppedcard.2012.02.004

Bialkowski J, Karwot B, Szkutnik M, et al. Closure of atrial septal defects in children: surgery versus Amplatzer device implantation. Texas Heart Institute journal / from the Texas Heart Institute of St Luke's Episcopal Hospital, Texas Children's Hospital 2004; 31(3): 220-3.

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Published

2014-12-05

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Section

Articles