title: Percutaneous closure of an iatrogenic atrial septal defect.
abstract: We report the successful percutaneous closure of an iatrogenic atrial septal defect in a 71-year-old woman. The patient had undergone mitral valve replacement and coronary artery bypass grafting, followed by redo surgery to repair a para-valvular mitral leak. Post-operatively she remained significantly limited by dyspnoea. Repeat transoesophageal echocardiography documented a large iatrogenic atrial septal defect. The patient underwent percutaneous, trans-femoral closure of the defect using the Helex septal occluder (W.L. Gore, Newark, Delaware, USA) with dramatic clinical improvement.
authors.affiliation: Royal Berkshire Hospital, Reading, UK.
authors.forename: Alex
authors.initials: A
authors.lastname: Pitcher
authors.forename: Ryan G
authors.initials: RG
authors.lastname: Schrale
authors.forename: Andrew R J
authors.initials: AR
authors.lastname: Mitchell
authors.forename: Oliver
authors.initials: O
authors.lastname: Ormerod
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000209:etiology* / Q000628:therapy*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation