title: Protruding umbrella into the left atrium associated with recurrence of a stroke: a possible late complication of the CardioSEAL occluder.
abstract: Percutaneous closure of a patent foramen ovale or atrial septal defect using various closure systems is now considered an alternative to surgical therapy in selected patients with cryptogenic strokes. We report the case of a late protrusion of the umbrella of a CardioSEAL Occluder into the left atrium associated with occurrence of a stroke. No recurrence of symptoms was seen at six-month follow-up after reinstitution of clopidogrel in addition to aspirin.
authors.affiliation: Genesis Heart Institute, Cardiovascular Medicine, P.C., Davenport, IA 52803, USA. shammas@mchsi.com
authors.forename: Nicolas W
authors.initials: NW
authors.lastname: Shammas
mesh_terms: D000368:Aged; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation; D004868:Equipment Failure; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011859:Radiography; D012008:Recurrence; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*