Korean Circ J.  2013 Feb;43(2):139-141. 10.4070/kcj.2013.43.2.139.

A New Method for Patent Foramen Ovale Closure: Delivering Sheath Over Coronary Sinus Catheter into Left Atrium

• Gokdeniz T
• Aykan AC
• Celik S
• Boyaci F

• KMID: 1769653
• DOI: http://doi.org/10.4070/kcj.2013.43.2.139

Abstract

Patent foramen ovale (PFO) is a frequent condition. It usually does not pose any threat to life, but in certain circumstances, it can open and serve as a conduit for thrombi causing paradoxical embolism. Herein, we report a case of PFO in a patient with ischemic cerebrovascular accident, due to paradoxical embolism, which could not be passed via general practice; hence it was crossed with coronary sinus catheter, through which the delivery sheath was placed into the left atrium, and it was successfully closed.

Keyword

Foramen ovale, patent; Amplatzer septal occluder; Coronary sinus catheter

MeSH Terms

Catheters
Coronary Sinus
Embolism, Paradoxical
Foramen Ovale, Patent
Heart Atria
Humans
Septal Occluder Device
Stroke

Figure

• 

  Fig. 1 The transesophageal echocardiographic imaging of patent foramen ovale. A: arrow shows the bulging of interatrial septum to the left atrium which indicates atrial septal aneurysm. B: color Doppler transesophageal echocardiography examination showed passage of flow through a slit like patent foramen ovale from right atrium to the left atrium.

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  Fig. 2 The angiographic views during the crossing of PFA and after the successful deployment of PFO occluder. A: insertion of 9 Fr delivery sheath over 7 Fr coronary sinus catheter through PFO into the left atrium was demonstrated. B: successful deployment of Amplatzer PFO occluder was shown. PFO: patent foramen ovale.

Reference

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3. Calvert PA, Rana BS, Kydd AC, Shapiro LM. Patent foramen ovale: anatomy, outcomes, and closure. Nat Rev Cardiol. 2011. 8:148–160.