background: the ductus arteriosus connects the main pulmonary trunk to the descending aorta. the incidence of isolated patent ductus arteriosus (pda) in full-term infants is about 1 in 2000. the amplatzer ductal occluder (ado) is recommended for pdas with sizes larger than 2 mm. in this procedure, we must confirm the ado position in pda by aortogram from the arterial line. the purpose of this s...

background: t ranscatheter closure of patent ductus arteriosus (pda) has become an alternative treatment to surgery. we evaluated the long-term results of the transcatheter closure of pda with the amplatzer duct occluder (ado) in children. methods: between may 2004 and october 2012, 138 children with pda (43 males and 95 females) underwent transcatheter pda closure. clinical, electrocardiograph...

total anomalous pulmonary venous connection (tapvc) is an anomaly in which the pulmonary veins are directly connected to one of the systemic veins or drain into the right atrium. management of pulmonary hypertension after the total correction of this congenital cardiac anomaly is very important. unligation of the vertical vein in the supracardiac type of this anomaly can be a draining pathway f...

background: despite several reports regarding the use of the occlutech figulla® flex septal occluder (offso) in adults, there are few reports on its use in children. we sought to study the result of the transcatheter closure of atrial septal defect (asd) using the offso in children ≤ 12 years. methods: w e enrolled 45 consecutive patients, ranging from 2.5 to 12 years of age, in two large pedia...

background: transcatheter occlusion of the patent ductus arteriosus (pda) is a minimally invasive treatment. the appropriate device size is chosen based on the angiographic measurement of the pda . the current study aimed to assess the relationship between the transthoracic echocardiographic (tte) measurements of the pda prior to the occlusion procedure and the actual size of the deployed devic...

Introduction: In this study, we sought to illustrate our experience in urgent surgical management for embolized cardiac septal occlude devices resulting from trans-catheter closure of atrial septal defect and ventricular septal defect. Mathrials and Methods: We retrospectively reviewed four patients aged 2–10 years who underwent urgent surgery due to cardiac septal occluder embolization between...

BACKGROUND In this study, we sought to analyze our experience in urgent surgical management for embolized cardiac septal and ductal occluder devices resulting from trans-catheter closure of atrial septal defect, ventricular septal defect and patent ductus arteriosus in childhood patient group. METHODS We retrospectively reviewed 9 patients (aged 2-15 years) who underwent urgent surgery due to...

An alternative to the surgical repair of secundum type atrial septal defects (ASD) and of patent ductus arteriosus (PDA) is transcatheter closure. However, there is limited information about the efficacy of using percutaneous devices to close multiple ASDs. An 8-year-old female patient was admitted to our hospital with a cardiac murmur. A large secundum multi-fenestrated ASD (17 mm, 4.5 mm, 3 m...

BACKGROUND The anatomy of septal defects can be complex and morphologically unpredictable. Balloon sizing of such defects may not be feasible, and an appropriately sized commercial occluder may not be available. Therefore, percutaneous transcatheter closure of such defects can be challenging because of an increased risk of complications. In this study, we have described the efficacy and safety ...

We present the case of a patient who underwent a percutaneous secundum atrial septal defect (ASD II) closure with an undersized septal occluder device. One week and one month later she experienced two transient ischemic attacks. Three-dimensional transesophageal echocardiography (TEE) revealed a residual patent foramen ovale (PFO) with a positive Valsalva bubble test. She underwent a second pro...