title: Percutaneous closure of a postoperative residual atrial septal defect with the Occlutech Figulla Occluder device.
abstract: A 67-year-old male patient with an eight-month history of operation for mitral valve repair and secundum atrial septal defect (ASD) presented with complaints of fatigue and shortness of breath. Transthoracic echocardiography showed a residual ASD resulting from separation of a pericardial patch. Qp/Qs rate was 3.2. The diameter of the residual defect measured by transesophageal echocardiography was 18 mm. During right heart catheterization, pulmonary artery pressure was estimated to be 50 mmHg. Using the percutaneous method accompanied by transesophageal echocardiography guidance, the residual defect was successfully closed with a 21-mm Occlutech Figulla device. Postprocedural echocardiographic control showed no leaks. The patient was discharged with 300 mg/day aspirin treatment.
authors.affiliation: Department of Cardiology, Bakırköy Sadi Konuk Education and Research Hospital, İstanbul, Turkey. drbdmr06@hotmail.com
authors.forename: Bülent
authors.initials: B
authors.lastname: Demir
authors.forename: Hande Oktay
authors.initials: HO
authors.lastname: Türeli
authors.forename: Gönül
authors.initials: G
authors.lastname: Kutlu
authors.forename: Osman
authors.initials: O
authors.lastname: Karakaya
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005221:Fatigue / Q000209:etiology; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008945:Mitral Valve Prolapse / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D055989:Septal Occluder Device; D014463:Ultrasonography