title: Percutaneous repair of aortic puncture with Amplatzer closure device during attempted transseptal puncture.
abstract: Attempted atrial transseptal puncture in a 63-year-old man undergoing an ablative procedure for atrial fibrillation was complicated by inadvertent delivery of an 8 Fr sheath across the aorta. Due to obesity-related perioperative risks, we opted for percutaneous repair rather than open-heart corrective surgery. Our case is unique for the novel percutaneous delivery of an Amplatzer atrial septal defect (ASD) closure device to the defect in the non-coronary aortic cusp through an 8 Fr left atrial multipurpose sheath not designed for this purpose. At 9-month follow-up, he had a mild residual internuclear ophthalmoplegia.
authors: Waikato Hospital, Pembroke Street, Hamilton 3204, New Zealand.
authors: Matthew R
authors: MR
authors: Webber
authors: Martin K
authors: MK
authors: Stiles
authors: Sanjeevan
authors: S
authors: Pasupati
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology*; D001281:Atrial Fibrillation / Q000628:therapy; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D008875:Middle Aged; D055989:Septal Occluder Device / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome