Open AccessUnexpected difficulty during transcatheter device closure of atrial septal defect associated with right aortic arch
Author(s) -
Nageswara Rao Koneti,
Abhijeet Shelke,
Srinivasa Kumar Arramraj,
Raghava Raju Penumatsa
Publication year - 2012
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.99623
Subject(s) - medicine , cardiology , aortic arch , right atrium , descending aorta , transesophageal echocardiogram , aorta , left atrium , pulmonary vein , radiology , atrial fibrillation
Right aortic arch (RAA) associated with isolated atrial septal defect (ASD) is very rare. We report successful closure of ASD associated with RAA using a 26-mm atrial septal occluder in a 30-year-old male patient. The impingement of right descending aorta in RAA caused malposition of the device in the left atrium. Deployment of the device through the right upper pulmonary vein successfully closed the defect. Follow-up evaluation by computerized tomography scan and echocardiogram showed no pulmonary venous obstruction.