Graded balloon dilatation as a prerequisite to Amplatzer device closure of perforated interatrial septal aneurysm

Goel PK, Kapoor A
Correspondence: Dr Pravin K Goel, golf_pgi@yahoo.co.in

ABSTRACT
This case report describes a modification in the technique of atrial septal device closure in a patient with atrial septal defect (ASD) with associated atrial septum aneurysm and significant left-to-right shunt through multiple perforations. Graded balloon dilatation of the aneurysm was performed in this patient, as a preamble to successful deployment of a single large Amplatzer atrial septal occluder,  closing the ASD completely and entrapping the aneurysm as a whole.

Keywords: Amplatzer device closure, atrial septal defect, balloon dilatation, interatrial septum aneurys
Singapore Med J 2012; 53(1): e18–e20