PMC2840761_01
Two-dimensional image of the interatrial baffle and the two fenestrations
APC-02-85-g001.jpg
PMC2840761_01_APC-02-85-g001.jpg
F0001
The distance between the two defects was 9 mm and the entire area was well demonstrated by both 2D [Figure 1] and 3D TEE [Figure 2; Movie 1 and 2]. Through the right internal jugular venous access, a 13 mm Amplatzer Septal Occluder (AGA Medical Corporation, Plymouth, MN) was deployed through the larger defect, completely closing it [Figure 3 and Movie 3]. The smaller defect was covered by a majority of the rim of the occluder, with near-total reduction in the degree of shunting through the smaller defect.
Matrix-array three-dimensional transesophageal echocardiogram obtained at the level of the mid esophagus, directly behind the anatomic left atrium. One larger and one smaller baffle leak are demonstrated (arrows)
APC-02-85-g002.jpg
PMC2840761_01_APC-02-85-g002.jpg
F0002
The distance between the two defects was 9 mm and the entire area was well demonstrated by both 2D [Figure 1] and 3D TEE [Figure 2; Movie 1 and 2]. Through the right internal jugular venous access, a 13 mm Amplatzer Septal Occluder (AGA Medical Corporation, Plymouth, MN) was deployed through the larger defect, completely closing it [Figure 3 and Movie 3]. The smaller defect was covered by a majority of the rim of the occluder, with near-total reduction in the degree of shunting through the smaller defect.
Still-frame image of the Amplatzer device after it has been deployed through the larger fenestration
APC-02-85-g003.jpg
PMC2840761_01_APC-02-85-g003.jpg
F0003
The distance between the two defects was 9 mm and the entire area was well demonstrated by both 2D [Figure 1] and 3D TEE [Figure 2; Movie 1 and 2]. Through the right internal jugular venous access, a 13 mm Amplatzer Septal Occluder (AGA Medical Corporation, Plymouth, MN) was deployed through the larger defect, completely closing it [Figure 3 and Movie 3]. The smaller defect was covered by a majority of the rim of the occluder, with near-total reduction in the degree of shunting through the smaller defect.