ECHO 2013 / Echocardiography in Congenital and Structural Heart Disease Assessment of Device – Repaired Patients
.pdf
PFO Closure - Sizing
Fluoroscopic Image – Balloon Sizing
Post – PFO Closure
Two Cases:
Assessing Recurrent Stroke
Post – PFO Closure
48 Year old male
Three consecutive embolic strokes, 1st with concurrent PE, 2nd and 3rd while on anti-coagulation therapy
Closure of PFO with f/u bubble study –’ve at 1 year
No further events
8 years later – CP, CABG
1 month later recurrent stroke while on aspirin
Post – PFO Closure
Damaged device post-CABG?
Post – PFO Closure
Color Flow |
Agitated Saline |
ICE Imaging – Distorted Device with New Shunt
Post – PFO Closure
Surgery or Catheter Closure of Residual Shunt??
Post – PFO Closure
Surgery or Catheter Closure of Residual Shunt??
Post – PFO Closure
Surgery or Catheter Closure of Residual Shunt??
Post – PFO Closure
27 year old female
S/p thromboembolic stroke
Pre-cath work-up negative
PFO Closure – CardioSEAL Device
Recurrent stroke at 3 weeks
Post – PFO Closure
Transthoracic Imaging – Thrombus on RA Side of Device