A 45-year-old patient presented with a cerebrovascular attack and was subsequently found to have a multi-fenestrated atrial septal defect. Various therapeutic options for percutaneous transcatheter closure with their respective benefits and flaws are discussed, as well as procedural and financial considerations. The decision making process leading to a successful result using a single occlusive device is presented, alongside a review of the literature.
- Fenestrated atrial septal defect
- Financial considerations
- Multiple atrial septal defect
- Occlusive device
- Percutaneous closure
- Procedural considerations