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Three dimensional transesophageal echocardiography guidance in closure of multihole atrial septal defect associated with patent foramen ovale
  • +2
  • Zahra Khajali,
  • Ata Firouzi,
  • Maryam Hedayati,
  • Azin alizadehasl,
  • Fatemeh Zohrian
Zahra Khajali
Rajaie Cardiovascular Medical and Research Center
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Ata Firouzi
Rajaie Cardiovascular Medical & Research Center, Tehran, Iran
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Maryam Hedayati
Rajaie Cardiovascular Medical and Research Center
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Azin alizadehasl
Rajaie Cardiovascular Medical and Research Center
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Fatemeh Zohrian
Rajaie Cardiovascular Medical & Research Center, Tehran, Iran
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Abstract

Treatment of patients with concomitant patent foramen ovale (PFO), atrial septal aneurysm (ASA), and multi fenestrated ASDs (mfASD) poses many challenges and may need several devices placed across the atrial septum which is more challenging, problematic and expensive. This is done by careful interrogation of the atrial septum by color doppler echocardiography, preferably by transoesophageal or three-dimensional transesophageal echocardiography (3D TEE) at the time of catheterization. We report one case who referred for PFO closures that were found to have an atrial septal aneurysm and multiple small holes. we used one occluder device Uni occlutech to close the PFO and fenestrations that this technique was with high success and without complication.