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Percutaneous closure of an iatrogenic atrial septal defect
Author(s) -
Alex Pitcher,
Ryan G. Schrale,
Andrew R.J. Mitchell,
Oliver Ormerod
Publication year - 2006
Publication title -
european journal of echocardiography
Language(s) - English
Resource type - Journals
eISSN - 1525-2167
pISSN - 1532-2114
DOI - 10.1016/j.euje.2006.09.006
Subject(s) - medicine , percutaneous , surgery , cardiology , mitral valve replacement , mitral valve , leak , bypass grafting , heart septal defect , artery , environmental engineering , engineering
We report the successful percutaneous closure of an iatrogenic atrial septal defect in a 71-year-old woman. The patient had undergone mitral valve replacement and coronary artery bypass grafting, followed by redo surgery to repair a para-valvular mitral leak. Post-operatively she remained significantly limited by dyspnoea. Repeat transoesophageal echocardiography documented a large iatrogenic atrial septal defect. The patient underwent percutaneous, trans-femoral closure of the defect using the Helex septal occluder (W.L. Gore, Newark, Delaware, USA) with dramatic clinical improvement.

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