The relevance of real-time intraoperatory echocardiogram as a guide to percutaneous treatment of septal defects through Amplatzer device

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The relevance of real-time intraoperatory echocardiogram as a guide to percutaneous treatment of septal defects through amplatzer device

Gabriel Antonio Stanisci Migue; Lilian M. Lopes

Real e Benemérita Associação Portuguesa de Beneficência de São Paulo, Hospital das Clínicas - FMUSP - São Paulo, SP - Brazil

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Key words: Echocardiography, transesophageal; heart septal defects.

Introduction

This is the report on a 14-year-old female patient with a diagnosis of ostium secundum interatrial communication and echocardiographic criteria for percutaneous treatment of septal defect.

The interatrial communication occlusion procedure must be continually monitored by transesophageal or intracardiac echocardiogram, since invaluable detailed information is provided, such as: stretched diameter measure – crucial for the choice on prosthesis size to be used; left atrium disk location guidance – thus avoiding dislocation through the defect; device positioning after all components have been opened; and tracking of possible periprosthetic residual flow (Figure 1).

Potential Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Sources of Funding

There were no external funding sources for this study.

Study Association

This study is not associated with any graduation program.

Manuscript received March 19, 2007; revised manuscript received May 30, 2007; accepted May, 30 2007.

Publication Dates

• Publication in this collection
  18 Apr 2008
• Date of issue
  Dec 2007