PP-244 Transcatheter Interatrial Septal Defect Closure the Oldest Patient Exprience in Turkey

Abstract

Transcatheter device closure of secundum Atrial Septal Defect(ASD) has become an accepted alternative to surgical closure. Transcatheter closure of ASD are feasible of every age. 79 years male patient was admitted to our hospital with progressive dispnea.X-rays were normal lung area. Echocardiography; interatrial septal defect Qp:Qs ratio was 2,1 and there is right ventricular dilation. We applied Transesophageal Echocardiography(TEE). There was significant ASD size by TEE was 22 mm total septum lenght was 48 mm. The procedure was conducted under local anaesthesia and by Transthoracic echocardiography. The Atrial septal defect closure device selected as 4 mm larger than the measured obtained by TEE sizing. Heparin was given in the dose of 75 units/kg during the procedure. From the right femoral vein, the delivery sheath is passed over a long exchange 0.35 guidewire, we used 26 mm Cera(life tech) atrial septal defect closure. The left atrial disk of device is opened in the left atrium. Then right atrial disk is opened in the right atrium. We checked with the maneuver of Minnesota the device before release. When the device is seen in the appropriate position by TTE and floroscopy it is released in (Figure). Patients are monitorised in 24 hr hospitalisation and controls were done by ECG and TTE. No complications were seen. ASD rarely is able to symptoms in patients in very advanced age. Transcatheter device closure is useble in appropriate patients.