ASD Closure using a Fenestrated Figulla Device Under General Anesthesia and 3D TEE Guidance

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ASD Closure using a Fenestrated Figulla Device Under General Anesthesia and 3D TEE Guidance

By Pediatric and Adult Interventional Cardiac Symposium

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March 13, 2014

History:

• 73 year old woman, Weight: 64 kgs, Height: 1.58 m

• Fatigue and ...
read more ↘ dyspnea on exertion for many years

• Hypertension

• On B blockers, ASA, Diuretics, Amlodipine

Physical Findings:

• BP: 150/90

• Mild systolic ejection murmur mid sternal border

• Fixed splitting of the 2nd heart sound with mildly increased pulmonary component

Pertinent Tests:

EKG:

• Sinus rhythm, RVH

Echo (TTE and TEE):

• Normal LV systolic fxn, LV hypertrophy, Abnormal LV diastolic fxn (relaxation), Increased RA and RV, RV systolic pressure estimated at 45-55 mmHg, ASD 19X15 mm shunting L-RCT/MR: CT/MR:

• Not performed

Catheterization (11/12):

• Normal coronary arteries; PAP: 50/20 (30); RA: 10; Ao: 140/90; LV: 140/18; Qp/Qs: 2.3
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