Dr Malik says:
It is worth seeing what I put inside you to close a hole in the atrial septum (an atrial septal defect-ASD).
The indications for closure are:
- Dilated right heart, showing strain from the abnormal shunting
- The shunt from left to right across the ASD being large (comparing flow on the left and right 1.5:1 shunt)
- A paradoxical embolism- clot moving from the right to the left
ASD closure is done under general anaesthesia with X-Ray and echo guidance. It is a very safe and effective procedure- please see some of my cases on YouTube.