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ID: 27: A CHALLENGING CASE OF PERCUTANEOUS ATRIAL SEPTAL DEFECT CLOSURE Carluccio Raffaele 1 , Riegler Lucia 1 , Forni Alberto 1 , Molinari Riccardo 2 , Parlati Antonio Luca Maria 3 , Quaranta Gaetano 1 , Pastore Fabio 1 , Zambrano Aniello 1 , Santoro Giuseppe 4 , DAndrea Antonello 1 1 Umberto I Hospital - Nocera Inferiore (SA) Italy, 2 Monaldi Hospital - Naples Italy, 3 Federico II University of Naples - Naples Italy, 4 Fondazione Toscana Gabriele Monasterio CNR, Institute of Clinical Physiology - Massa Italy, ASDs account for 13% of all congenital heart diagnoses at birth but remain asymptomatic until adulthood, when atrial arrhythmias, paradoxical embolization or pulmonary hypertension can develop