| . | Sequence of events . |
|---|---|
| Background | Percutaneous closure of ASD several years before |
| Presentation | Dyspnoea with mild efforts (NYHA Class III) and right heart failure |
| Diagnostic tests | Transthoracic echocardiogram (TTE): significant left-to-right shunt and device misalignment transoesophageal echo (TEE): anterosuperior device protrusion into the right atrium, rest of the device correctly anchored |
| Decision | Percutaneous closure with a new device through a transjugular access |
| Procedure | A Figulla Flex II PFO 27/30 mm device was implanted partially overlapped with the prior one |
| Imaging | 3D-TEE guidance confirms correct position and a trace residual shunt |
| Follow up | Symptoms resolution (NYHA Class I) and stable device position |
| . | Sequence of events . |
|---|---|
| Background | Percutaneous closure of ASD several years before |
| Presentation | Dyspnoea with mild efforts (NYHA Class III) and right heart failure |
| Diagnostic tests | Transthoracic echocardiogram (TTE): significant left-to-right shunt and device misalignment transoesophageal echo (TEE): anterosuperior device protrusion into the right atrium, rest of the device correctly anchored |
| Decision | Percutaneous closure with a new device through a transjugular access |
| Procedure | A Figulla Flex II PFO 27/30 mm device was implanted partially overlapped with the prior one |
| Imaging | 3D-TEE guidance confirms correct position and a trace residual shunt |
| Follow up | Symptoms resolution (NYHA Class I) and stable device position |
| . | Sequence of events . |
|---|---|
| Background | Percutaneous closure of ASD several years before |
| Presentation | Dyspnoea with mild efforts (NYHA Class III) and right heart failure |
| Diagnostic tests | Transthoracic echocardiogram (TTE): significant left-to-right shunt and device misalignment transoesophageal echo (TEE): anterosuperior device protrusion into the right atrium, rest of the device correctly anchored |
| Decision | Percutaneous closure with a new device through a transjugular access |
| Procedure | A Figulla Flex II PFO 27/30 mm device was implanted partially overlapped with the prior one |
| Imaging | 3D-TEE guidance confirms correct position and a trace residual shunt |
| Follow up | Symptoms resolution (NYHA Class I) and stable device position |
| . | Sequence of events . |
|---|---|
| Background | Percutaneous closure of ASD several years before |
| Presentation | Dyspnoea with mild efforts (NYHA Class III) and right heart failure |
| Diagnostic tests | Transthoracic echocardiogram (TTE): significant left-to-right shunt and device misalignment transoesophageal echo (TEE): anterosuperior device protrusion into the right atrium, rest of the device correctly anchored |
| Decision | Percutaneous closure with a new device through a transjugular access |
| Procedure | A Figulla Flex II PFO 27/30 mm device was implanted partially overlapped with the prior one |
| Imaging | 3D-TEE guidance confirms correct position and a trace residual shunt |
| Follow up | Symptoms resolution (NYHA Class I) and stable device position |
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