Extracardiac Interatrial Tunnel and Atrial Septal Defect Closed With a Single Atrial Septal Occluder in an Adolescent Girl

Tsukasa Torigoe; Seiichi Sato; Akiko Sanada

doi:10.1016/j.cjca.2015.03.002

Extracardiac Interatrial Tunnel and Atrial Septal Defect Closed With a Single Atrial Septal Occluder in an Adolescent Girl

Can J Cardiol. 2015 Aug;31(8):1073.e17-9. doi: 10.1016/j.cjca.2015.03.002. Epub 2015 Mar 6.

Authors

Tsukasa Torigoe¹, Seiichi Sato², Akiko Sanada³

Affiliations

¹ Department of Pediatrics and Neonatology, Niigata City General Hospital, Niigata, Japan. Electronic address: tsukasa-t-vw12@zd5.so-net.ne.jp.
² Department of Pediatrics and Neonatology, Niigata City General Hospital, Niigata, Japan.
³ Department of Cardiology, Niigata City General Hospital, Niigata, Japan.

PMID: 26094166
DOI: 10.1016/j.cjca.2015.03.002

Abstract

In contrast to the atrial septal defect (ASD) as a congenital interatrial shunt, the extracardiac interatrial tunnel is extremely rare. We report the first percutaneous closure of this entity during closure of a secundum ASD after careful investigation of ischemic risk in a 15-year-old girl. The extracardiac interatrial tunnel could entail interatrial shunt, and, if misidentified as an ASD, could result in lethal procedural complications during surgical or catheter interventions. In our case, the tunnel was also morphologically similar to the cardiac arterial/venous system. Therefore, careful investigation of its potential relationship with coronary circulation was required before its closure.

Publication types

Case Reports

MeSH terms

Adolescent
Atrial Septum / diagnostic imaging
Atrial Septum / surgery*
Echocardiography, Transesophageal
Female
Heart Septal Defects, Atrial / diagnostic imaging
Heart Septal Defects, Atrial / surgery*
Humans
Septal Occluder Device*