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Congenital heart cath without ASD closure

Date: Sep 19, 2011

Question:

Dr.Z, Question for ASD closure. During a routine echocardiogram, found to have a small left to right shunt across the atrial septum for which she was offered to have closure of ASD. After obtaineing pressures, ICE was performed and showed a small ASD near the foramen ovale. Then with transcranial Doppler in place, injectged several times the agitated saline of bubble contrast and there was no right-to-left shunting. After confirming that there is no right-to-left shunting and study was negativ e, concluded the cardiac catheterization and patient did not receiv e any closure for her defect. Our cath charges these with 93530 93662 and the order is for Right and left heart cath ASD closure with Helex TCD/ICE. Please advice. Thansk

Question ID : 3178
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