title: Transcatheter closure of a complex atrial septal defect after occluder device embolization.
abstract: Percutaneous closure is nowadays considered the treatment of choice of ostium secundum atrial septal defects (ASD). However, transcatheter closure can be highly challenging when we face an ASD with complex morphological features. The combination of different imaging modalities can be very helpful. This case shows the great value of using both intracardiac and real time 3D transesophageal echocardiography for the percutaneous closure of a complex iatrogenic ASD after device embolization.
authors.affiliation: Interventional Cardiology Unit, Miguel Servet University Hospital, Zaragoza, Spain.. Electronic address: georginaff@hotmail.com.
authors.forename: Georgina
authors.initials: G
authors.lastname: Fuertes-Ferre
authors.affiliation: Interventional Cardiology Unit, 12 Octubre University Hospital, Madrid, Spain.
authors.forename: Felipe
authors.initials: F
authors.lastname: Hernández Hernández
authors.affiliation: Interventional Cardiology Unit, 12 Octubre University Hospital, Madrid, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: López Ramón
authors.affiliation: Interventional Cardiology Unit, Miguel Servet University Hospital, Zaragoza, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Sánchez Rubio
authors.affiliation: Interventional Cardiology Unit, Miguel Servet University Hospital, Zaragoza, Spain.
authors.forename: Esther
authors.initials: E
authors.lastname: Sánchez Insa
authors.affiliation: Interventional Cardiology Unit, Miguel Servet University Hospital, Zaragoza, Spain.
authors.forename: Jose Gabriel
authors.initials: JG
authors.lastname: Galache Osuna
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization / Q000379:methods; D019560:Echocardiography, Three-Dimensional / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D055989:Septal Occluder Device; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods
keywords: 3D transesophageal echocardiography; Iatrogenic atrial septal defect; Intracardiac echocardiography; Percutaneous closure