Successful Percutaneous Closure of a Residual Atrial Septal Defect Due to Device Failure

Aguiar Rosa, S; Ferreira, F; de Sousa, L; Fiarresga, A; Martins, JD; Galrinho, A; Agapito, A; Fazendas, P; Pinto, MF; Cruz Ferreira, R

doi:10.1016/j.repc.2016.09.020

Please use this identifier to cite or link to this item: http://hdl.handle.net/10400.17/2935

Title:	Successful Percutaneous Closure of a Residual Atrial Septal Defect Due to Device Failure
Other Titles:	Encerramento Percutâneo de Comunicação Interauricular Residual por Falência de Dispositivo
Author:	Aguiar Rosa, S Ferreira, F de Sousa, L Fiarresga, A Martins, JD Galrinho, A Agapito, A Fazendas, P Pinto, MF Cruz Ferreira, R
Keywords:	HSM CAR HSM CAR PED Cardiac Surgical Procedures/methods Equipment Failure Heart Septal Defects, Atrial/surgery Remission Induction Septal Occluder Device
Issue Date:	Jun-2017
Publisher:	Sociedade Portuguesa de Cardiologia
Citation:	Rev Port Cardiol. 2017 Jun;36(6):475.e1-475.e3.
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.
Peer review:	yes
URI:	http://hdl.handle.net/10400.17/2935
DOI:	10.1016/j.repc.2016.09.020
Appears in Collections:	CAR - Artigos CAR PED - Artigos