# Atrial Septal Defect Device Closure With Balloon Support in a Patient With Situs Inversus With Dextrocardia

## TL;DR

This case report details a successful heart defect closure in a patient with a rare reversed body anatomy, showing that such procedures are possible with careful planning.

## Contribution

The paper demonstrates the feasibility of ASD device closure in patients with situs inversus and dextrocardia using balloon support and modified imaging.

## Key findings

- Balloon support and modified imaging enabled successful ASD closure in a patient with situs inversus and dextrocardia.
- The procedure required meticulous pre-procedural planning due to the patient's mirror-image anatomy.
- The case provides insights for managing structural heart defects in patients with complex congenital anomalies.

## Abstract

This case report describes a rare and complex case of atrial septal defect (ASD) device closure in a 53-year-old female patient with situs inversus and dextrocardia, who presented with exertional dyspnea and palpitations. The procedure posed unique challenges due to the patient's mirror-image anatomy, requiring meticulous pre-procedural planning and advanced imaging. During the intervention, we used balloon support and modified fluoroscopic and echocardiographic views to account for the reversed orientation, ensuring precise device placement. This case highlights the importance of individualized approaches in managing structural heart defects in patients with complex congenital anomalies and underscores the feasibility of ASD device closure in such challenging anatomical conditions, providing insights for similar interventions in the future.