In my opinion percutaneous closure devices such as Amlatzer, Starflex and Hellex may be used to close the PFO or atrial septal defects.  However, I do not have any experience using them.

Thanks dear colleague: My main concern is to close the defect in a patient previously existing pulmonary valve plasty and that it can regain restenosis.

Brotherly

Dr.Nizahel Estévez Álvarez. MD

I do not see any advantage to leave a defect. in ptes intervened on pulmonary valve stenosis previously even a forame oval that should be closed also to prevent any embolic event afterwards.

I´m agree whith Dr. Edmar Atik, and the percutaneos closure should be de election.

Kind Regards

Dr. Ernesto Rodríguez. MD

Dear Dr. Edmar Atik:

Thank you very much to dedicate his time to answer our question. My only concern with the closure of the interatrial defect was that a future 'pulmonary valve restenosis of change could generate pressures in the right chambers.

I fully agree with the suggestion that we also did get the colleague Dr. Omer Iqbal. We proceed immediately to conduct the closure of atrial septation defect intervention by the femoral region.

Thank you very much

Brotherly

Dr.Nizahel Estévez Álvarez. MD

Dear colleague and friend: Dr. Ernesto Casas

I thank you personally your comment on this page, for my judgment as a specialist is of great value. I will take into account the suggestions you offer me and that is the same as the rest of the experts in this Forum.

Fraternally:

Dr. Nizahel Estevez Alvarez. MD

percutaneous closure is available for most ASD

Khaled Alebrahim:  Thank you for your suggestion, rean taken seriously.

Brotherly

Estevez Dr.Nizahel Álvarez.MD

I will leave a small Pfo only in infant and neonates with severe compromission of the right ventricle. Never in adult with pulmonary stenosis

Dear Stefano M. Marianeschi: I am particularly grateful that he sent us his experience. This volarolarción is shared by our team.

Thank you very much.

Fraternally:

Dr. Nizahel Estevez Alvarez.  MD

Close it with the technique you can do best.

Regards Helmut

Dear Colleague Helmut P. Weber

Excuse me for not having answered before, I was not connected.

His remarks are taken into account. Many thanks for your time.

Brotherly

 Dr.Nizahel Estévez Álvarez. MD

Colleagues of this forum:

I beg your pardon for the time that has passed and I have not thanked them their appropriate comments. I was not connected these days.

I thank them suggestions and makes them personally extend my thanks to each of you.

I fraternally a shipment from Havana, Cuba

Dr.Nizahe Estevez Alvarez. MD