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The following electronic only articles are published in conjunction with this issue of Heart.
Use of the transseptal puncture in transcatheter closure of long tunnel-type patent foramen ovale
C J McMahon, H G El Said, C E Mullins
Two patients with long tunnel-type patent foramen ovale presented for elective transcatheter closure following transient ischaemic attack and stroke. Right to left shunting was confirmed on transthoracic and transoesophageal echocardiography. A new technique that used a transseptal procedure was devised to enable closure of the tunnel-type patent foramen ovale using the CardioSEAL transseptal occluder to avoid “bunching up” of the device and residual transatrial shunting.
Endovascular stent repair for a dissecting thoracoabdominal aneurysm is feasible in the setting of a district general hospital: a multidisciplinary approach
M J S Zaman, V Carre, S Parvin, D Shepherd, J Radvan
A patient presented to a district general hospital with a type B dissection of the aorta. He was deemed too unwell for surgical intervention. An endovascular stent repair was successfully carried out. The case shows that such a procedure can be safely performed by a multidisciplinary team within a district general hospital.