TY  - EJOU
AU  - Tang, Yaqi 
AU  - Luo, Gang 
AU  - Liu, Huashu 
AU  - Wan, Hao 
AU  - Pan, Silin 

TI  - Percutaneous Transcatheter Closure of Congenital Atrial Septal Defect with Scoliosis under Transthoracic Echocardiography Guidance
T2  - Structural and Congenital Heart Disease

PY  - 2025
VL  - 20
IS  - 2
SN  - 3071-1738

AB  - Congenital atrial septal defect (ASD) with severe scoliosis is a rare compound malformation in children. Severe scoliosis should be corrected as soon as possible. The growth rod is suitable for patients with early scoliosis and obvious scoliosis under 10 years old. However, the fluoroscopic radiopaque of titanium alloy plate will inevitably partly make the operative field of interventional occlusion blind. We present a 7-year-old Chinese girl with ASD and scoliosis who underwent spinal correction with a dual-growth rod. In this case, we performed transcatheter closure of ASD solely under the guidance of transthoracic echocardiography. Transthoracic echocardiography (TTE) has been reported as efficacious and safe for assessment and guidance of ASD occlusion. For patients with visual field occlusion under fluoroscopy, the application of TTE is efficacious and safe for assessment and guidance of ASD occlusion
KW  - Atrial septal defect; scoliosis; transthoracic echocardiography; intervention closure; child

DO  - 10.32604/chd.2025.063682