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    Percutaneous Transcatheter Closure of Double Atrial Septal Defects with Double Amplatzer Septal Occluder Devices
    (Elsevier Ireland Ltd, 2010) Kaya, Zeynettin; Ülgen, Mehmet Sıddık; Kayrak, Mehmet; Göktekin, Ömer
    A 19-year-old female college student was admitted to hospital with effort dyspnea and palpitations. On physical examination her arterial blood pressure was normal. There was normal S1, fixed splitting S2 and no systolic ejection murmur on auscultation. The electrocardiogram showed sinus tachycardia at a rate of 87 bpm and incomplete right bundle branch block. Right atrial and ventricular enlargements were noted as well as suspected interatrial flow on transthoracic echocardiographic (TTE) evaluation. Transesophageal echocardiography (TEE) was performed and revealed a left to right interatrial shunt via 2 Atrial Septal Defects (ASD): the defects sizes were 12mm and 17mm respectively.