Transcatheter Closure of an Atrial Septal Defect by Using a Self-Fabricated Fenestrated Ceraflex Occluder in an Elderly Patient with Concomitant Mitral Regurgitation

Perlepe K1, Vagenakis G2, Ramos S2, Iakovou I1 and Leontiadis E1*

1Section of Interventional Cardiology, Onassis Cardiac Surgery Center, Athens, Greece
2Section of Congenital Heart Diseases, Onassis Cardiac Surgery Center, Athens, Greece

^*Correspondance to: Evangelos Leontiadis 

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Abstract:

In recent years an increasing number of elderly patients resort to transcatheter treatment of their congenital heart lesions. Atrial Septal Defect (ASD) closure in cases of coexisting left ventricular dysfunction and/or left valvular disease carries the risk of pulmonary congestion, hence implantation of a fenestrated device is a therapeutic option in these cases. We present a symptomatic 74-yearold patient with a large secundum ASD and concomitant moderate to severe mitral regurgitation, pulmonary hypertension, as well as severe tricuspid regurgitation. After thorough analysis of possible treatment options by the Heart Team, a transcatheter ASD closure by using a self-fabricated fenestrated CeraFlex ASD occluder (LifeTech Scientific Co., Shenzhen, China) was performed. This led to a significant reduction of the tricuspid regurgitation and amelioration of patient symptoms. This unique case underlines the feasibility, safety and efficacy of a hand-made fenestrated device for ASD closure in patients with moderate to severe mitral regurgitation.

Keywords:

Atrial septal defect; Mitral regurgitation; Tricuspid regurgitation; Pulmonary hypertension; Fenestrated occluder device

Cite the Article:

Perlepe K, Vagenakis G, Ramos S, Iakovou I, Leontiadis E. Transcatheter Closure of an Atrial Septal Defect by Using a Self-Fabricated Fenestrated Ceraflex Occluder in an Elderly Patient with Concomitant Mitral Regurgitation. Ann Clin Case Rep. 2023; 8: 2491.