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Peer-reviewedCC BYFujita medical journal

Transcatheter closure of a quadriform atrial septal defect with a custom double-fenestrated occluder: A case report.

  • I Ketut Alit Utamayasa1,2
  • Alisia Yuana Putri1,3
  • Dian Paramita Kartikasari1,3
  • Zakirah Zuhra1,3
  1. 1Faculty of Medicine, Airlangga University, Surabaya, East Java, Indonesia.
  2. 2Department of Pediatrics, Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia.
  3. 3Department of Cardiology and Vascular Medicine, Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia.
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Abstract

Background

Quadriform atrial septal defect (ASD) is a rare anatomical and functional variant of ASD. Its rarity and complex morphology pose significant diagnostic and therapeutic challenges, distinguishing it from more common forms of ASD. Although surgical closure has traditionally been the standard treatment, this case demonstrates the feasibility and efficacy of a minimally invasive transcatheter approach.Case report

A 71-year-old woman presented with shortness of breath. Physical examination and transthoracic echocardiography revealed an interatrial septal defect. Right heart catheterization combined with transesophageal echocardiography confirmed a complex ostium secundum ASD with a cribriform morphology resembling a quadriform ASD and associated high-flow, low-resistance pulmonary hypertension. Device deployment required additional manual modification and manipulation by the operators. Successful ASD closure was achieved using a single 40-mm occluder with double fenestrations. The patient remained asymptomatic at the 3-month follow-up.Conclusion

Transcatheter device closure may be an effective treatment option for quadriform ASD, although close follow-up is required to ensure proper device positioning. The increasing complexity of ASD presentations, particularly secundum defects, underscores the importance of continued discussion and experience sharing within the cardiovascular community.

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Cite

BibTeXRIS
BibTeX
@article{utamayasa2026transcatheter,
  title = {{Transcatheter closure of a quadriform atrial septal defect with a custom double-fenestrated occluder: A case report.}},
  author = {I Ketut Alit Utamayasa and Alisia Yuana Putri and Dian Paramita Kartikasari and Zakirah Zuhra},
  journal = {Fujita medical journal},
  year = {2026},
  month = sep,
  doi = {10.20407/fmj.2026-005},
  url = {https://europepmc.org/article/MED/42969003},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Transcatheter closure of a quadriform atrial septal defect with a custom double-fenestrated occluder: A case report.
AU  - I Ketut Alit Utamayasa
AU  - Alisia Yuana Putri
AU  - Dian Paramita Kartikasari
AU  - Zakirah Zuhra
PY  - 2026
DA  - 2026/09/25
JO  - Fujita medical journal
DO  - 10.20407/fmj.2026-005
UR  - https://europepmc.org/article/MED/42969003
AB  - Background  Quadriform atrial septal defect (ASD) is a rare anatomical and functional variant of ASD. Its rarity and complex morphology pose significant diagnostic and therapeutic challenges, distinguishing it from more common forms of ASD. Although surgical closure has traditionally been the standard treatment, this case demonstrates the feasibility and efficacy of a minimally invasive transcatheter approach.Case report  A 71-year-old woman presented with shortness of breath. Physical examination and transthoracic echocardiography revealed an interatrial septal defect. Right heart catheterization combined with transesophageal echocardiography confirmed a complex ostium secundum ASD with a cribriform morphology resembling a quadriform ASD and associated high-flow, low-resistance pulmonary hypertension. Device deployment required additional manual modification and manipulation by the operators. Successful ASD closure was achieved using a single 40-mm occluder with double fenestrations. The patient remained asymptomatic at the 3-month follow-up.Conclusion  Transcatheter device closure may be an effective treatment option for quadriform ASD, although close follow-up is required to ensure proper device positioning. The increasing complexity of ASD presentations, particularly secundum defects, underscores the importance of continued discussion and experience sharing within the cardiovascular community.
SN  - 2189-7247
SN  - 2189-7255
ER  -