Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 2 2020
Percutaneous Atrial Septal Defect Closure using Transesophageal Echocardiography without Fluoroscopy in A Pregnant Woman: A Case Report
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Title
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 2 2020
Percutaneous Atrial Septal Defect Closure using Transesophageal Echocardiography without Fluoroscopy in A Pregnant Woman: A Case Report
Percutaneous Atrial Septal Defect Closure using Transesophageal Echocardiography without Fluoroscopy in A Pregnant Woman: A Case Report
Subject
atrial septal defect, catheterization, pregnant woman, transesophageal echocardiography
Description
Transcatheter closure is the treatment of choice for atrial septal defect (ASD); it has good efficacy and minimal complications. However, this approach in a pregnant woman is limited due to the risk of radiation exposure. A novel fluoroscopy-free technique has been introduced to reduce x-ray exposure. This case reported the experience of an
ASD transcatheter closure in a pregnant woman without fluoroscopy guidance. To the best of our knowledge, this is the first successful fluoroscopy-free technique for transcatheter closure in Indonesia. The case is a 26-year-old primigravida at 26 weeks’ gestational age with secundum ASD and pulmonary hypertension. Transcatheter closure was successfully performed with a Cera ASD occluder (Lifetech Scientific Corporation) no. 28 mm guided by transesophageal echocardiography. During the
procedure, transient supraventricular tachycardia was developed. There were no other major or minor periprocedural complications. ASD transcatheter closure in a pregnant woman without fluoroscopy is feasible, safe, and effective.
ASD transcatheter closure in a pregnant woman without fluoroscopy guidance. To the best of our knowledge, this is the first successful fluoroscopy-free technique for transcatheter closure in Indonesia. The case is a 26-year-old primigravida at 26 weeks’ gestational age with secundum ASD and pulmonary hypertension. Transcatheter closure was successfully performed with a Cera ASD occluder (Lifetech Scientific Corporation) no. 28 mm guided by transesophageal echocardiography. During the
procedure, transient supraventricular tachycardia was developed. There were no other major or minor periprocedural complications. ASD transcatheter closure in a pregnant woman without fluoroscopy is feasible, safe, and effective.
Creator
Radityo Prakoso, Rina Ariani, Oktavia Lilyasari, Yovi Kurniawati, Sisca Natalia Siagian, Indriwanto Sakidjan, Poppy Soerwianti Roebiono, Anna Ulfah Rahajoe, Olfi Lelya, Aditya Agita Sembiring, Ganesja Moelia Harimurti
Publisher
Fakultas Kedokteran Universitas Indonesia
Date
2020-07-02
Contributor
Sri Wahyuni
Rights
ISSN : 0853-1773
Format
PDF
Language
English
Type
Text
Coverage
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 2 2020
Files
Citation
Radityo Prakoso, Rina Ariani, Oktavia Lilyasari, Yovi Kurniawati, Sisca Natalia Siagian, Indriwanto Sakidjan, Poppy Soerwianti Roebiono, Anna Ulfah Rahajoe, Olfi Lelya, Aditya Agita Sembiring, Ganesja Moelia Harimurti, “Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 2 2020
Percutaneous Atrial Septal Defect Closure using Transesophageal Echocardiography without Fluoroscopy in A Pregnant Woman: A Case Report,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/859.
Percutaneous Atrial Septal Defect Closure using Transesophageal Echocardiography without Fluoroscopy in A Pregnant Woman: A Case Report,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/859.