Transcatheter closure of fenestrated atrial septal aneurysm: feasibility and long-term results.

Aim: To report on the feasibility, efficacy and long-term outcome of transcatheter closure of fenestrated Atrial Septal Aneurysm (ASA).

Methods: Between April 2000 and May 2020, 568 patients with fenestrated ASA underwent transcatheter closure at two large-volume Pediatric Cardiology and GUCH Units (Naples and Massa, Italy). Procedural indications were cardiac volume overload in 223 patients (39%) or prophylaxis of paradoxical embolization in 345 patients (61%).

Retinal fluorescein angiography: A sensitive and specific tool to predict coronary slow flow.

Background: Obstructive coronary artery disease (OCAD) and coronary slow flow (CSF) are frequent angiographic findings for patients that have chest pain and require frequent hospital admission. The retina provides a window for detecting changes in microvasculature relating to the development of cardiovascular diseases such as arterial hypertension or coronary heart disease.

Objectives: To assess the coronary and ocular circulations in patients with CSF and those with obstructive coronary artery disease.