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Interatrial septum rupture during balloon measurement of a patent foramen ovale in a young patient presenting cryptogenic stroke
Author(s) -
Bonvini Robert F.,
Sigwart Ulrich,
Verin Vitali
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.20969
Subject(s) - patent foramen ovale , medicine , interatrial septum , foramen ovale (heart) , shunt (medical) , foramen secundum , cardiology , surgery , balloon , septum secundum , stroke (engine) , complication , left atrium , atrial fibrillation , percutaneous , mechanical engineering , engineering
We report the case of a 36‐year‐old woman admitted for cryptogenic stroke, in whom the Patent Foramen Ovale (PFO) diameter measurement, with a purpose built sizing balloon, performed before the closure procedure, was complicated with the rupture of the inter‐atrial septum generating an Atrial Septal Defect (ASD) with a significant left‐to‐right shunt. This kind of complication may not be easy to handle, changing the initial procedural strategy from PFO to ASD closure technique requiring specific material and operator's technical skill. © 2006 Wiley‐Liss, Inc.