PMC9893705_01
(A) Transesophageal echocardiography 2-dimensional image showing an interatrial septal defect obtained. (B) Transesophageal echocardiography image showing an interatrial septal defect obtained from the maximal color-flow jet width. (C) Transesophageal echocardiography image showing successful deployment of the Amplatzer septal occluder.
ajc-27-1-47_f001.jpg
PMC9893705_01_ajc-27-1-47_f001.jpg
f1-ajc-27-1-47
Transesophageal echocardiography (TEE) indicated a 14.6 mm interatrial septal defect obtained from the maximal color-flow jet width (Figure 1A and B, Supplementary Video 1). TEE imaging revealed an ideal location for the device, and the device was completely released (Figure 1C and 2C, Supplementary Video 3).
(A) Fluoroscopy image showing a communication through the right superior vena cava by the azygos vein, which subsequently continued with the coronary sinus. (B) Fluoroscopy image showing the placement of a 7-French long sheath into the left ventricle to keep it in greater support. C) Fluoroscopy image showing successful deployment of the Amplatzer septal occluder.
ajc-27-1-47_f002.jpg
PMC9893705_01_ajc-27-1-47_f002.jpg
f2-ajc-27-1-47
TEE guidance, contrast injection revealed that the IVC was interrupted with communication through the right SVC by the azygos vein, which subsequently continued with the CS (Figure 2A, Supplementary Video 2). The procedure was performed through the left internal jugular vein (IJV). The 7-French long sheath was advanced over the extra stiff guidewire and placed into the LV to keep the guidewire and long sheath in greater support and to facilitate the intervention (Figure 2B). TEE imaging revealed an ideal location for the device, and the device was completely released (Figure 1C and 2C, Supplementary Video 3).