Percutaneous atrial septal defect closure using transesophageal echocardiography without fluoroscopy in a pregnant woman: a case report

  • Radityo Prakoso Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia https://orcid.org/0000-0003-3345-6314
  • Rina Ariani Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Oktavia Lilyasari Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Yovi Kurniawati Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Sisca Natalia Siagian Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Indriwanto Sakidjan Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Poppy Soerwianti Roebiono Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Anna Ulfah Rahajoe Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Olfi Lelya Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Aditya Agita Sembiring Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
  • Ganesja Moelia Harimurti Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia, National Cardiovascular Center of Harapan Kita, Jakarta, Indonesia
Keywords: atrial septal defect, catheterization, pregnant women, transesophageal echocardiography
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Abstract

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 weeksâ 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. 

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Published
2020-06-30
How to Cite
1.
Prakoso R, Ariani R, Lilyasari O, Kurniawati Y, Siagian SN, Sakidjan I, Roebiono PS, Rahajoe AU, Lelya O, Sembiring AA, Harimurti GM. Percutaneous atrial septal defect closure using transesophageal echocardiography without fluoroscopy in a pregnant woman: a case report. Med J Indones [Internet]. 2020Jun.30 [cited 2020Oct.21];29(2):228–32. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/3161
Section
Case Report/Series

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