Author(s)

Raghu Cherukupalli¹, Shawkat Miro¹, Srinivas Movva¹, Prashant Patil¹, Nirlep Gajiwala², Ashok Thakkar²

¹Department of Cardiology, Prime Hospitals, Hyderabad, India.
²Department of Clinical Trials, Sahajanand Medical Technologies Pvt. Ltd., Surat, India.

Context: Atrial septal defect may rarely be associated with other cardiac diseases such as arrhythmia, and may require additional intervention. Case report: A 16-year-old boy presented with effort dyspnea, tiredness, and fatigue. The electrocardiograph revealed right bundle branch block, atrioventricular block, and left axis deviation. Ostium secundum type of atrial septal defect was detected by transthoracic echocardiography and was confirmed by transesophageal echocardiography. The patient was advised to undergo percutaneous device closure. Permanent pacemaker implantation was also suggested considering the risk of fatal arrhythmias associated with atrioventricular block. Consequently, patient underwent percutaneous atrial septal defect closure and implantation of pacemaker in a single sitting. Both the procedures were successful, after which the patient showed remarkable symptomatic improvement. Conclusion: In atrial septal defect patients with unexplained atrioventricular block, closure of atrial septal defect and implantation of pacemaker in single sitting appear to be an attractive modality.

Atrial Septal Defect, Ostium Secundum, Pacemaker, Percutaneous Device Closure, Double Intervention in Single Sitting

Cherukupalli, R. , Miro, S. , Movva, S. , Patil, P. , Gajiwala, N. and Thakkar, A. (2014) Double Intervention in Single Sitting: Percutaneous Device Closure and Permanent Pacemaker Implantation in a Patient with Atrial Septal Defect. International Journal of Clinical Medicine, 5, 1311-1315. doi: 10.4236/ijcm.2014.520167.