Kissing balloons and kissing devices: transcatheter closure of multiple atrial septal defects on hypermobile atrial septum with two devices

Endovascular treatment has become an accepted treatment modality for atrial septal defects (ASD) in adults. In multiple defects on a hypermobile atrial septum with atrial septal aneurysm (ASA), surgery used to be the treatment of choice, but transcatheter occlusion has emerged as a successful alternative in appropriate cases. We present a case with multiple ASDs treated with two ASD occluder devices.