title: Device dislocation, probably due to paroxysmal coughing early after percutaneous closure of secundum type atrial septal defect.
abstract: In a 56-year-old woman with a secundum-type atrial septal defect, a closure device was successfully implanted with primarily adequate positioning of the occluder. Two weeks after discharge, the patient developed paroxysmal coughing that probably led to a device dislocation. Months later, a considerable left-to-right shunt was detected, and the device was found to be ingrown in a defective position and had to be removed surgically. In conclusion, the case demonstrates that recurrent coughing may interfere with closure devices and may lead to dangerous dislocation.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Medical University Innsbruck, Innsbruck, Austria. thomas.bartel@i-med.ac.at
authors.forename: Thomas
authors.initials: T
authors.lastname: Bartel
authors.forename: Johannes O
authors.initials: JO
authors.lastname: Bonatti
authors.forename: Silvana
authors.initials: S
authors.lastname: Müller
mesh_terms: D000328:Adult; D021721:Balloon Occlusion / Q000295:instrumentation*; D001991:Bronchitis / Q000150:complications; D003371:Cough / Q000150:complications* / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D019736:Prostheses and Implants