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Suman S. Kuppahally, Sheldon E. Litwin, Larry S. Green, Stephen M. Ishihara, Roger A. Freedman and Andrew D. Michaels Utility of Intracardiac Echocardiography for Atrial Baffle Leak Closure in Repaired Transposition of the Great Arteries Echocardiography 27

Version of Record online: 10 MAY 2010 | DOI: 10.1111/j.1540-8175.2010.01171.x

A 27 year-old male with dextro-transposition of great arteries had Senning atrial switch repair in childhood and dualchamber pacemaker placement for sinus node dysfunction in adulthood. Transthoracic echocardiography showed a lead in the systemic ventricle. Multidetector computed tomography showed the lead perforating the baffl e into the systemic ventricle. The lead was extracted, and a new lead was placed in the pulmonary ventricle. The iatrogenic baffl e leak was percutaneously closed with an Amplatzer septal occluder device using intracardiac echocardiography (ICE). We report the fi rst use of ICE for baffl e leak closure, which provided good defi nition of the complex anatomy and guided the procedure.

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