title: Hybrid closure of atrial septal defect: A modified approach.
abstract: A 3.5-year-old girl underwent transcatheter closure of patent ductus arteriosus in early infancy during which time her secundum atrial septal defect (ASD) was left alone. When she came for elective closure of ASD, she was found to have bilaterally blocked femoral veins. The defect was successfully closed with an Amplatzer septal occluder (ASO; St. Jude Medical, Plymouth, MN, USA) using a hybrid approach via a sub-mammary mini-thoracotomy incision without using cardiopulmonary bypass. At the end of 1-year follow-up, the child is asymptomatic with device in a stable position without any residual shunt.
authors: Glenmark Cardiac Centre, Mumbai, Maharashtra, India.
authors: Kshitij
authors: K
authors: Sheth
authors: Glenmark Cardiac Centre, Mumbai, Maharashtra, India.
authors: Shreepal
authors: S
authors: Jain
authors: Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India.
authors: Suresh
authors: S
authors: Joshi
authors: Glenmark Cardiac Centre, Mumbai, Maharashtra, India.
authors: Bharat
authors: B
authors: Dalvi
keywords: Device; hybrid; mini-thoracotomy; sub-mammary