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Late migration of a Sideris buttoned device for occlusion of atrial septal defect
Author(s) -
Cotts Timothy,
Strouse Peter J.,
Graziano Joseph N.
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20849
Subject(s) - medicine , surgery , perforation , chest radiograph , occlusion , radiography , materials science , punching , metallurgy
We describe a 17‐year‐old patient with an atrial septal defect who underwent device closure with a second generation Sideris buttoned device at 4 years of age. She presented 13 years after the procedure with the acute onset of chest discomfort, at which time a chest radiograph showed migration of the wire of the right atrial counter‐occluder to the lateral aspect of the right atrial wall, with an associated right atrial perforation. The patient underwent uneventful surgical device retrieval and atrial septal defect closure. Late migration of a portion of the Sideris buttoned device can occur, suggesting the need for continued follow up, and a high index of suspicion for device failure should a patient become symptomatic. © 2006 Wiley‐Liss, Inc.