Amplatz septal occluder for secundum ASD

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Routine chest radiograph

Patient Data

Age: 55 years
Gender: Female

Typical findings of pectus excavatum on the anterior chest radiograph (steep anterior ribs and apparent soft tissue opacity to the right of the heart border) and a subtle metallic density projected over the lower thoracic spine. Typical appearance of the Amplatz occluder on the lateral projection. It is used as a percutaneous device to close a secundum ASD that has been detected in adulthood. Its orientation in this case is a little unusual (i.e. seen in profile on the lateral view) since the heart is distorted by the pectus excavatum.

CT findings of a twin disc like device between the left and right atrium across the defect

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