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Abstract

Atrial septal defects (ASD) are one of the most common acyanotic congenital heart lesions. Clinical presentations, complications, and appropriate device sizing are challenging for percutaneous approach. We report a successful percutaneous closure of extreme large secundum ASD with mild pulmonary hypertension, using amplatzer septal occluder (ASO) with fluoroscopic and transesophageal echocardiography guidance (TEE) in a 26-year-old female. Implantation was successful, and no complications were observed during the one month of follow-up.

Bahasa Abstract

Defek septal atrium (DSA/atrial septal defect - ASD) adalah salah satu penyakit jantung bawaan asianotik paling banyak dijumpai pada usia dewasa. Presentasi klinis, komplikasi, dan ukuran okluder yang tepat merupakan tantangan dalam pendekatan percutaneous closure. Kami melaporkan keberhasilan percutaneous closure DSA sekundum sangat besar dengan hipertensi paru ringan, menggunakan amplatzer septal occluder (ASO) dengan panduan fluoroskopi dan transesophageal echocardiography (TEE) pada wanita berusia 26 tahun. Implantasi okluder berhasil baik, dan tidak ada komplikasi yang diamati selama satu bulan setelah tindakan.

Kata Kunci: Amplatzer septal occluder, defek septum atrium sangat besar, percutaneous closure

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