title: Graded balloon dilatation as a prerequisite to Amplatzer device closure of perforated interatrial septal aneurysm.
abstract: This case report describes a modification in the technique of atrial septal device closure in a patient with atrial septal defect (ASD) with associated atrial septum aneurysm and significant left-to-right shunt through multiple perforations. Graded balloon dilatation of the aneurysm was performed in this patient, as a preamble to successful deployment of a single large Amplatzer atrial septal occluder, closing the ASD completely and entrapping the aneurysm as a whole.
authors.affiliation: Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. golf_pgi@yahoo.co.in
authors.forename: P K
authors.initials: PK
authors.lastname: Goel
authors.forename: A
authors.initials: A
authors.lastname: Kapoor
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000601:surgery; D054087:Atrial Septum / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D002404:Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004867:Equipment Design; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D019736:Prostheses and Implants; D013923:Thromboembolism / Q000517:prevention & control