title: Three-dimensional echocardiography guided closure of complex multiple atrial septal defects.
abstract: Transcatheter closure of complex multiple atrial septal defects (ASDs) remains a challenge. We describe our clinical experience with staged device deployment in a patient with multiple ASDs using four Amplatzer septal occluder devices. Three-dimensional transesophageal echocardiography imaging contributed not only to the therapeutic guidance of successful device deployment but also to the decision making for the staged device delivery approach in a case of morphologically complex multiple ASDs.
authors.affiliation: Department of Cardiovascular Medicine, Okayama University Hospital, Okayama, Japan.
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Kijima
authors.forename: Teiji
authors.initials: T
authors.lastname: Akagi
authors.forename: Koji
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Takaya
authors.forename: Hiroki
authors.initials: H
authors.lastname: Oe
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000379:methods; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019919:Prosthesis Implantation; D055989:Septal Occluder Device; D012720:Severity of Illness Index; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome
keywords: atrial septal defect; three-dimensional echocardiography; transcatheter closure device