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Utility of Eustachian valve for facilitating ASD device closures in defects with borderline mitral rims
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  • Harikrishnan Kurup,
  • Arun Gopalakrishnan,
  • Deepa Sasikumar,
  • Venkatesh Gurajala,
  • Kavasseri Krishnamoorthy
Harikrishnan Kurup
Sree Chitra Tirunal Institute for Medical Sciences and Technology
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Arun Gopalakrishnan
Sree Chitra Tirunal Institute for Medical Sciences and Technology
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Deepa Sasikumar
Sree Chitra Tirunal Institute for Medical Sciences and Technology
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Venkatesh Gurajala
Sree Chitra Tirunal Institute for Medical Sciences and Technology
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Kavasseri Krishnamoorthy
Sree Chitra Tirunal Institute for Medical Sciences and Technology
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Abstract

A prominent Eustachian valve in the right atrium has been reported to pose significant challenges during device closure of atrial septal defects. We describe the procedural aspects of device closure in an ASD with deficient rims and a redundant Eustachian valve. The prominent Eustachian valve provided extra stability in the anteroinferior aspect during device deployment and hence proved to be helpful for the procedure. It is important to consider this aspect while planning device closure