Clinical Research in Cardiology

, Volume 105, Issue 2, pp 182–185 | Cite as

Interventional ASD II closure in the presence of an abnormally localized left main coronary artery

  • Nikola BogunovicEmail author
  • Werner Scholtz
  • Dieter Horstkotte
  • Frank van Buuren
Letter to the Editors


Catheter-interventional closure of a secundum atrial septal defect (ASD II) is a common procedure. Most of the defects are suitable for this technique. A variety of different occluders and sizes are available. In the presence of additional congenital cardiac malformations the intervention may be problematic or even inappropriate. As a congenital anomaly, the left main coronary artery (LCA) may arise near or out of the ostium of the right coronary artery (RCA). The localization of the LCA may then be in the anterior or posterior wall around the aortic valve (AV) annulus/aortic root. The coexistence of this anomaly with a secundum atrial septal defect is rare. To close the ASD under this condition [1, 2], surgery is the most common procedure. The alternative catheter-interventional closure is rarely performed, because a partly or even complete compression of the LCA may occur as the occluder may rest at or on the aortic wall and therefore also on the LCA [3]. However,...


Right Coronary Artery Left Main Coronary Artery Right Bundle Branch Block Interatrial Septum Transoesophageal Echocardiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Compliance with ethical standards

Conflict of interest

No author has conflicts of interests to disclose.

Supplementary material

Supplementary material 1 (MOV 26249 kb)

392_2015_923_MOESM2_ESM.doc (22 kb)
Supplementary material 2 (DOC 22 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Nikola Bogunovic
    • 1
    Email author
  • Werner Scholtz
    • 1
  • Dieter Horstkotte
    • 1
  • Frank van Buuren
    • 1
  1. 1.Clinic for Cardiology, Herz- und Diabeteszentrum Nordrhein-WestfalenRuhr-Universität BochumBad OeynhausenGermany

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