Keywords
Foramen Ovale, Patent / surgery; Echocardiography, Three-Dimensional; Minimally Invasive Surgical Procedures
Female patient, 31 years old, with a history of ischemic stroke 7 years before, was referred for treatment of Patent Foramen Ovale (PFO). She only had a complaint of migraine with aura, with no focal neurological abnormalities.
On July 2, 2015, she was submitted to an uneventful percutaneous PFO occlusion using a Cardia IntraseptTM prosthesis (CARDIA, Inc., Burnsville, MN, USA). Intraoperative three-dimensional transesophageal echocardiography confirmed correct prosthesis positioning and absence of residual shunt through the bubble test. Current guidelines of the two most important international societies of echocardiography, the European Association of Cardiovascular Imaging and the American Society of Echocardiography, determine that the three-dimensional echocardiography is the echocardiographic modality of choice for monitoring, following and guiding percutaneous procedures performed in hemodynamics and hybrid rooms, as in this case.1 Hospital Israelita Albert Einstein São Paulo SP Brazil Hospital Israelita Albert Einstein − São Paulo, SP - Brazil Hospital Israelita Albert Einstein
The patient was discharged on the first postoperative day. After 30 days, adequate placement of the device was confirmed with PFO occlusion through transthoracic echocardiography. The patient remains in outpatient care, with migraine improvement.
Three-dimensional transesophageal echocardiography image in multiple planes (from the left atrium, the right atrium, from the lateral, diagonal and triplane views) of the Cardia IntraseptTM prosthesis (arrow) well positioned in the atrial septum in a patient with patent foramen ovale. RA: right atrium; LA: left atrium.
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Sources of FundingThere were no external funding sources for this study.
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Study AssociationThis study is not associated with any thesis or dissertation work.
Reference
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1Lang R M, Badano L P, Tsang W T, Adams DH, Agricola E, Buck T, et al; American Society of Echocardiography; European Association of Echocardiography. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25(1):3-46.
Publication Dates
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Publication in this collection
Mar 2016
History
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Received
21 Oct 2015 -
Reviewed
03 Nov 2015 -
Accepted
03 Nov 2015