ABSTRACT
Percutaneous closure of postoperative malaligned residual atrial septal defect was successfully performed from the transjugular approach under transesophageal echocardiography guidance in a 38-year-old symptomatic woman with patent femoral venous access using the usual hardware. This demonstrates the feasibility of transjugular approach as an alternative to femoral or transhepatic approaches in patients with difficult atrial septal anatomy who are usually referred for surgery.
Subject(s)
Cardiac Catheterization/methods , Heart Septal Defects, Atrial/therapy , Jugular Veins , Adult , Cardiac Catheterization/instrumentation , Echocardiography, Transesophageal , Female , Heart Septal Defects, Atrial/diagnostic imaging , Humans , Postoperative Period , Treatment OutcomeSubject(s)
Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/therapy , Coronary Vessel Anomalies/diagnostic imaging , Coronary Vessel Anomalies/surgery , Echocardiography, Three-Dimensional , Septal Occluder Device , Vena Cava, Superior/abnormalities , Child , Female , Humans , Surgery, Computer-Assisted , Vena Cava, Superior/diagnostic imaging , Vena Cava, Superior/surgeryABSTRACT
Achalasia cardiae is a rare esophageal motility disorder of unknown cause, which can remain asymptomatic for a long time. Diagnosis can be missed in view of the frequent absence of pathognomonic clinical signs and symptoms. We present the case of an elderly gentleman, who had achalasia incidentally detected by transthoracic echocardiography during evaluation of coronary artery disease.
