A rare complication of atrial septal occluders: diagnosis by transthoracic echocardiography.
Atrial septal defect transcatheter occlusion techniques have become a reliable alternative to surgical procedures. Possible complications can derive from unfavorable anatomy of the defect and over-dimensioning of the device. We describe the first case ever reported of anterior mitral leaflet perforation caused by an atrial septal occluder. The diagnosis was performed by conventional echocardiography and 3 dimensions helped for a more accurate anatomic definition. Device removal, atrial septal defect closure, and repair of the mitral tear were then successfully performed.
Dialetto
Giovanni
G
Department of Cardiothoracic and Respiratory Sciences, Second University of Naples, Italy.
Covino
Franco E
FE
Scognamiglio
Giancarlo
G
Della Corte
Alessandro
A
Manduca
Sabrina
S
Iacono
Carola
C
Calabrò
Raffaele
R
Cotrufo
Maurizio
M
D000328:Adult; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D035583:Rare Diseases / Q000150:complications / Q000000981:diagnostic imaging; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging* / Q000209:etiology*