title: Cupping of the left atrial disc: a new echocardiographic pointer towards atrial septal defect-device mismatch.
abstract: We report a case of percutaneous atrial septal defect closure (ASD) in which, despite careful device selection and successful shunt closure, a number of adverse echocardiographic features developed, necessitating surgical extraction of the device and patch closure of the defect. Lessons regarding case selection, device choice, appropriate follow-up and recognition of adverse echocardiographic features can be learned from this experience.
authors.affiliation: East Midlands Congenital Heart Centre, Glenfield Hospital, Leicester, UK. nzr3@doctors.org.uk
authors.forename: Zdenka
authors.initials: Z
authors.lastname: Reinhardt
authors.forename: Aidan P
authors.initials: AP
authors.lastname: Bolger
authors.forename: Christopher
authors.initials: C
authors.lastname: Duke
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D020878:Device Removal; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D055989:Septal Occluder Device; D013997:Time Factors; D016896:Treatment Outcome