Feasibility and Safety of Transcatheter Device Closure for a Giant Atrial Septal Defect with Moderate Tricuspid Regurgitation

Abstract

ABSTRACTBackground: Atrial septal defect (ASD) is the most common congenital heart disease (CHD) with a slow progression, often remaining undiagnosed during youth. This can result in a late diagnosis in adulthood when the defect has already become large, which may be associated with increased morbidity and mortality due to the progression of symptoms.Case summary: A 38-year-old female was incidentally found to have a secundum atrial septal defect (20 x 15 mm) with moderate tricuspid regurgitation during evaluation for a persistent cough of two months’ duration, occasionally accompanied by dyspnea and voice changes.Discussion: The transcatheter closure has been successfully performed and significantly reduce pre-existing respiratory symptoms.Take Home Messages: Early recognition of congenital heart disease by clinicians is essential for timely diagnosis and prompt intervention to prevent serious late complications. Pre-procedural screening should be thoroughly performed to rule out any contraindications to the procedure.