Utilizing Three-Dimensional Transthoracic Echocardiography for Selecting Candidates for Percutaneous Closure of Atrial Septal Defects

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Percutaneous atrial septal defect repair offers lower complication rates, shorter hospital stays, and reduced costs compared to open heart surgery.
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Three-dimensional transthoracic echocardiography provides reliable defect measurements and may assist in patient selection for catheter closure without sedation.
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The study analyzed 36 patients referred for atrial septal defect closure over three years, with a median age of 6 years and median weight of 19.3 kg.
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Direct surgical closure referral occurred in 42% of patients, often due to unsuitable defect anatomy for percutaneous intervention.
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Among patients referred for three-dimensional echocardiography, 46% were female, and notable comorbidities included patent ductus arteriosus and chronic renal failure.

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