title: A rare complication of atrial septal occluders: diagnosis by transthoracic echocardiography.
abstract: 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.
authors.affiliation: Department of Cardiothoracic and Respiratory Sciences, Second University of Naples, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Dialetto
authors.forename: Franco E
authors.initials: FE
authors.lastname: Covino
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Scognamiglio
authors.forename: Alessandro
authors.initials: A
authors.lastname: Della Corte
authors.forename: Sabrina
authors.initials: S
authors.lastname: Manduca
authors.forename: Carola
authors.initials: C
authors.lastname: Iacono
authors.forename: Raffaele
authors.initials: R
authors.lastname: Calabrò
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cotrufo
mesh_terms: 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*