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 Unexpected difficulty during transcatheter device closure of atrial septal defect associated with right aortic arch

Nageswara Rao Koneti1, Abhijeet Shelke1, Srinivasa Kumar Arramraj2, Raghava Raju Penumatsa2
1 Department of Pediatric Cardiology, Care Hospital, The Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India
2 Department of Cardiology, Care Hospital, The Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Nageswara Rao Koneti
Department of Pediatric Cardiology, Care Hospital, The Institute of Medical Sciences, Road No. 1, Banjara Hills, Hyderabad, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99623

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Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 185-187

 
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Right aortic arch (RAA) associated with isolated atrial septal defect (ASD) is very rare. We report successful closure of ASD associated with RAA using a 26-mm atrial septal occluder in a 30-year-old male patient. The impingement of right descending aorta in RAA caused malposition of the device in the left atrium. Deployment of the device through the right upper pulmonary vein successfully closed the defect. Follow-up evaluation by computerized tomography scan and echocardiogram showed no pulmonary venous obstruction.






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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008

 

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Nageswara Rao Koneti1, Abhijeet Shelke1, Srinivasa Kumar Arramraj2, Raghava Raju Penumatsa2
1 Department of Pediatric Cardiology, Care Hospital, The Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India
2 Department of Cardiology, Care Hospital, The Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Nageswara Rao Koneti
Department of Pediatric Cardiology, Care Hospital, The Institute of Medical Sciences, Road No. 1, Banjara Hills, Hyderabad, Andhra Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.99623

Rights and Permissions

Right aortic arch (RAA) associated with isolated atrial septal defect (ASD) is very rare. We report successful closure of ASD associated with RAA using a 26-mm atrial septal occluder in a 30-year-old male patient. The impingement of right descending aorta in RAA caused malposition of the device in the left atrium. Deployment of the device through the right upper pulmonary vein successfully closed the defect. Follow-up evaluation by computerized tomography scan and echocardiogram showed no pulmonary venous obstruction.






[FULL TEXT] [PDF]*


        
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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008