Thomas E. Fagan, MD University of Colorado Aurora, Colorado SCAI Fellows Course, Las Vegas, Dec ‘12 ASD Closure Case.

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Presentation transcript:

Thomas E. Fagan, MD University of Colorado Aurora, Colorado SCAI Fellows Course, Las Vegas, Dec ‘12 ASD Closure Case

Ÿ 4 yr old female Ÿ At least 2 ASDs - 6 mm + 4 mm Ÿ Moderate RV enlargement Ÿ Pulmonary valve dysplasia - Peak velocity 2.4 m/sec ASD Closure Clinical Background

Ÿ Normal right heart pressure Ÿ Qp : Qs = 1.9 : 1 Ÿ No significant pulmonary valve gradient Ÿ TEE; Two ASDs - 9 mm superior - 5 mm inferior ASD Closure Clinical Background

ASD Closure Clinical Background

ASD Closure Clinical Background Options???

ASD Closure Clinical Background

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

ASD Closure Double HELEX Delivery

Thank You childrenscolorado.org

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