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LETTER
Percutaneous Transcatheter Closure of Congenital Atrial Septal Defect with Scoliosis under Transthoracic Echocardiography Guidance
1 Heart Center and Department of Ultrasound, Women and Children’s Hospital, Qingdao University, Qingdao, 266000, China
2 Qingdao Central Hospital, University of Health and Rehabilitation Sciences, Qingdao, 266000, China
* Corresponding Author: Silin Pan. Email:
# These authors contributed equally to this work
(This article belongs to the Special Issue: Novel Methods and Techniques for the Management of Congenital Heart Disease)
Congenital Heart Disease 2025, 20(2), 195-200. https://doi.org/10.32604/chd.2025.063682
Received 21 January 2025; Accepted 03 April 2025; Issue published 30 April 2025
Abstract
Congenital atrial septal defect (ASD) with severe scoliosis is a rare compound malformation in children. Severe scoliosis should be corrected as soon as possible. The growth rod is suitable for patients with early scoliosis and obvious scoliosis under 10 years old. However, the fluoroscopic radiopaque of titanium alloy plate will inevitably partly make the operative field of interventional occlusion blind. We present a 7-year-old Chinese girl with ASD and scoliosis who underwent spinal correction with a dual-growth rod. In this case, we performed transcatheter closure of ASD solely under the guidance of transthoracic echocardiography. Transthoracic echocardiography (TTE) has been reported as efficacious and safe for assessment and guidance of ASD occlusion. For patients with visual field occlusion under fluoroscopy, the application of TTE is efficacious and safe for assessment and guidance of ASD occlusionKeywords
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