title: [Transseptal puncture after device closure of patent foramen ovale: Is it feasible?].
abstract: METHODS
  The case of a 40-year-old woman with paroxysmal symptomatic atrial fibrillation and implanted occluder of a patent foramen ovale (PFO; AMPLATZER™ Septal Occluder, St. Jude Medical) is reported. Due to the symptomic atrial fibrillation, pulmonary vein isolation was planned.
  
  
  METHODS
  Under transesophageal, echocardiographic control the transseptal puncture was performed posterior inferior of the occluder without any complications. The pulmonary vein was successfully isolatedusing radiofrequency energy.
  
  
  CONCLUSIONS
  This case demonstrates that transseptal puncture in pulmonary vein isolation with an inserted PFO occluder under additional transesophageal, echocardiographic monitoring is safe and feasible.
authors.affiliation: Department of Medicine-Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. barbara.bellmann@charite.de.
authors.forename: Barbara
authors.initials: B
authors.lastname: Bellmann
authors.affiliation: Department of Medicine-Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Bogdan G
authors.initials: BG
authors.lastname: Muntean
authors.affiliation: Department of Medicine-Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Mario
authors.initials: M
authors.lastname: Kasner
authors.affiliation: Department of Medicine-Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Mattias
authors.initials: M
authors.lastname: Roser
authors.affiliation: Department of Medicine-Cardiology, Charité Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Rillig
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D017115:Catheter Ablation / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D054092:Foramen Ovale, Patent / Q000150:complications / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D016896:Treatment Outcome; D065506:Vascular Closure Devices
keywords: Atrial fibrillation; Foramen ovale closure; Occluder; Pulmonary vein isolation; Transseptal puncture
references.citation: Catheter Cardiovasc Interv. 2008 Mar 1;71(4):551-2
references.pmid: 18307237
references.citation: J Cardiovasc Electrophysiol. 2009 Dec;20(12):1343-8
references.pmid: 19656254
references.citation: J Cardiovasc Electrophysiol. 2014 May;25(5):479-84
references.pmid: 24384060