Porcelain Left Atrium in a Patient Being Evaluated for Percutaneous Closure of a Patent Foramen Ovale

Case Report

Volume 01, Issue 02 (July–September 2025)

Porcelain Left Atrium in a Patient Being Evaluated for Percutaneous Closure of a Patent Foramen Ovale

Enrique Sánchez-Muñoz^*, Carmen Garrote Coloma and Armando Pérez de Prado

Complejo Asistencial Hospitalario de Leon, Leon, Spain

^*Corresponding author: Dr. Enrique Sánchez Muñoz, Complejo Asistencial Hospitalario de León, C/Altos de Nava, S/N 24071 León, Spain.
E-mail: enricsan2@hotmail.com.

Received: 16 August 2025; Revised: 18 September 2025; Accepted: 22 September 2025; Published: 25 September 2025

Citation: Sánchez-Muñoz E, Coloma CG, Pérez de Prado A. Porcelain Left Atrium in a Patient Being Evaluated for Percutaneous Closure of a Patent Foramen
Ovale. Case Rep Case Ser Cardiol J. July-September 2025; 01(02): 57-60. DOI: doi.org/10.64874/crcscj.v1i2.2025.012.

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Abstract

Left atrial wall calcification is a rare finding, typically associated with rheumatic heart disease, prior atrial surgery, or chronic inflammatory states. Its presence can complicate transcatheter procedures by creating a rigid and irregular substrate for device deployment.

We report the case of a 54-year-old woman with no history of rheumatic disease, prior cardiac surgery, or other conditions predisposing to atrial calcification, in whom an unusual crescent-shaped, non-annular left atrial calcification was unexpectedly identified during percutaneous closure of a patent foramen ovale (PFO). Successful device implantation was achieved using an UltraSept™ occluder, underscoring the relevance of multimodality imaging and individualized device selection in challenging anatomies.

Keywords: Left atrial calcification; Multimodal imaging; Patent foramen ovale; Percutaneous closure; Structural heart intervention

Article Details

Porcelain Left Atrium in a Patient Being Evaluated for Percutaneous Closure of a Patent Foramen Ovale