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Modified percutaneous suture‐mediated patent fossa ovalis closure for prevention of cerebral ischemic events
Author(s) -
Gaspardone Achille,
De Santis Antonella,
Giannico Maria B.,
Sgueglia Gregory A.
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28936
Subject(s) - fossa ovalis , medicine , septum secundum , interatrial septum , fibrous joint , percutaneous , patent foramen ovale , atrial septum , interventricular septum , cardiology , surgery , anatomy , left atrium , ventricle , atrial fibrillation
Percutaneous suture‐mediated transcatheter patent fossa ovalis (PFO) closure has been shown to be an effective and safe technique with self‐evident advantages due to the lack of a permanent device heart implant. The success of this novel technique relies on an optimal catch of the interatrial septa, especially the septum primum which is floppier than the bulkier muscular septum secundum. We hypothesized that double suture of septum primum would further improve the efficacy of the procedure by increasing the surface contact between the septa when the septum primum is bent into the right atrium. We have provided proof of this concept by implementing a modified technique in two patients with PFO and cerebral ischemic events.