Transcatheter Closure of Atrial Septal Defect with Attenuated Anterior Rim after Transcatheter Aortic Valve Implantation: Can It Be Carried out as a Single Procedure?

Abstract

Transcatheter aortic valve replacement (TAVR) has emerged as a highly effective minimally invasive treatment for symptomatically critical aortic stenosis (AS) in patients at high or prohibitive surgical risk. We report a case of staged transcatheter management of critical AS combined with an atrial septal defect (ASD) with attenuated anterior superior rim. The clinical result of this case suggests that both procedures can be safely performed simultaneously. Therefore, combined transcatheter treatment may appear as a possible strategy in patients with concomitant cardiac conditions. Mini-Abstract Percutaneous cardiac intervention has become an accepted form of treatment in part because of its less invasive nature. Combined transcatheter aortic valve replacement (TAVR) with atrial septal defect with attenuated anterior rim can be safely performed at the same time. Implanting the TAVR first prior to the occlude device can potentially prevent dislodging of the Amplatzer occlude by the stent of the TAVR.