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Case Reports
. 2017 Jun;36(6):475.e1-475.e3.
doi: 10.1016/j.repc.2016.09.020. Epub 2017 Jun 5.

Successful percutaneous closure of a residual atrial septal defect due to device failure

[Article in English, Portuguese]
Sílvia Aguiar Rosa  1 , Filipa Ferreira  2 , Lídia de Sousa  3 , António Fiarresga  3 , José Diogo Martins  4 , Ana Galrinho  3 , Ana Agapito  3 , Paula Fazendas  2 , Fátima F Pinto  4 , Rui Cruz Ferreira  3
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Free article
Case Reports

Successful percutaneous closure of a residual atrial septal defect due to device failure

[Article in English, Portuguese]
Sílvia Aguiar Rosa et al. Rev Port Cardiol. 2017 Jun.
Free article

Abstract

A 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified this finding by showing a perforation of the device membrane coating. The patient underwent transcatheter closure of the residual shunt with a 20 mm Ultrasept PFO® device. The procedure was guided by fluoroscopy and real-time 3D TEE. At the end of the procedure 3D TEE documented correct device deployment with complete defect coverage and absence of residual shunt.

Keywords: Atrial septal defect; Comunicação interauricular; Intervenção percutânea; Percutaneous intervention; Residual shunt; Shunt residual.

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