PMC8086673_01
A. Two-dimensional transesophageal echocardiography with color Doppler : type II atrial septal defect with hemodynamically significant left-to-right shunt; B. Three-dimensional transesophageal echocardiography : elongated (elliptic, 27 x 13 mm in size) type II atrial septal defect; C. Two-dimensional transesophageal echocardiography with color Doppler : good result of Memopart 26 mm occluder implantation; D, E. Malformation of upper limbs (real photo and X-ray) : absence of I metacarpals and thumbs.
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The present study is the case of a 40-year-old Caucasian male with bilateral, symmetric malformation of the upper limbs; absence of I metacarpals and thumbs (Fig. 1D, E). B). Based on four-dimensional echocardiographic area sizing, an atrial septal defect nitinol occluder (Memopart 26 mm, Lepu Medical) was implanted percutaneously via femoral vein (Fig. 1C) with complete atrial septal defect closure.