title: Atrial septal occluder device embolization to an iliac artery: a case highlighting the utility of three-dimensional transesophageal echocardiography during percutaneous closure.
abstract: Percutaneous closure of secundum atrial defects has become an accepted treatment in part because it is minimally invasive and relatively low risk. Despite recent advances in implantation technique and device improvements, complications occur. Here, we report a case of device embolization during percutaneous repair of an atrial septal defect (ASD) with multiple fenestrations. We highlight the value of using live/real time three-dimensional transesophageal echocardiography to help plan the percutaneous procedure and detect complications.
authors.affiliation: Heart Center, Cheng-Hsin Medical Center, Taipei, Taiwan, Republic of China.
authors.forename: Jeng
authors.initials: J
authors.lastname: Wei
authors.forename: Ming C
authors.initials: MC
authors.lastname: Hsiung
authors.forename: Shen Kou
authors.initials: SK
authors.lastname: Tsai
authors.forename: Wei-Hsian
authors.initials: WH
authors.lastname: Yin
authors.forename: Ching-Huei
authors.initials: CH
authors.lastname: Ou
authors.forename: Cevdet
authors.initials: C
authors.lastname: Donmez
authors.forename: Elif
authors.initials: E
authors.lastname: Bicer
authors.forename: David D
authors.initials: DD
authors.lastname: Daly
authors.forename: Bhavin
authors.initials: B
authors.lastname: Dumaswala
authors.forename: Komal
authors.initials: K
authors.lastname: Dumaswala
authors.forename: Joshua
authors.initials: J
authors.lastname: McKay
authors.forename: Navin C
authors.initials: NC
authors.lastname: Nanda
mesh_terms: D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D055989:Septal Occluder Device; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome