Transesophageal echocardiography (TEE) guidance is part of interventional closure of secundum atrial septal defect (ASD) in children and adults. However, sometimes TEE is impossible for technical or anatomical reasons. If available, intracardiac echocardiography can be used, but especially in children, transthoracic echocardiography (TTE) can be an easy, safe, and cheap alternative. We report two cases in which TEE was replaced by TTE during percutaneous ASD closure. In the first case VACTERL association with a surgically repaired tracheoesophageal fistula was a relative contraindication to TEE. In the second case, technical failure of the transesophageal probe occurred during the procedure. In both cases the ASD was successfully closed with an atrial septal occluder device under TTE guidance. Using TTE can be sufficient and safe in children with good imaging windows, especially from subcostal views.
Atrial septal defect Transthoracic echocardiography Transesophageal echocardiography Intracardiac echocardiography Children
This is a preview of subscription content, log in to check access.
Faella HJ, Sciegata AM, Alonso JL, Jmelnitsky L (2003) ASD closure with the amplatzer device. J Interv Cardiol 5:393–397CrossRefGoogle Scholar
Figueroa MI, Balaguru D, McClure C, Kline CH, Radtke WA, Shirali GS (2002) Experience with use of multiplane transesophageal echocardiography to guide closure of atrial septal defects using the amplatzer device. Pediatr Cardiol 4:430–436CrossRefGoogle Scholar
Harper RW, Mottram PM, McGaw DJ (2002) Closure of secundum atrial septal defects with the amplatzer septal occluder device: techniques and problems. Catheter Cardiovasc Interv 4:508–524CrossRefGoogle Scholar
Hellenbrand WE, Fahey JT, McGowan FX, Weltin GG, Kleinman CS (1999) Transesophageal echocardiographic guidance of transcatheter closure of atrial septal defect. Am J Cardiol 2:207–213Google Scholar
Hijazi ZM, Cao Q, Patel HT, Rhodes J, Hanlon KM (2000) Transesophageal echocardiographic results of catheter closure of atrial septal defect in children and adults using the amplatzer device. Am J Cardiol 11:1387–1390CrossRefGoogle Scholar
Kardon RE, Sokoloski MC, Levi DS, Perry JS 2nd, Schneider DJ, Allada V, Moore JW (2004) Transthoracic echocardiographic guidance of transcatheter atrial septal defect closure. Am J Cardiol 2:256–260CrossRefGoogle Scholar
Koenig PR, Abdulla RI, Cao QL, Hijazi ZM (2003) Use of intracardiac echocardiography to guide catheter closure of atrial communications. Echocardiography 8:781–787CrossRefGoogle Scholar
Losay J, Petit J, Lambert V, Esna G, Berthaux X, Brenot P, Angel C (2001) Closure of secundum atrial septal defects with the amplatzer septal occluder device: techniques and problems. Am Heart J 142(3):544–548PubMedCrossRefGoogle Scholar
Patel A, Cao QL, Koenig PR, Hijazi ZM (2006) Intracardiac echocardiography to guide closure of atrial septal defects in children less than 15 kilograms. Catheter Cardiovasc Interv 2:287–291CrossRefGoogle Scholar