Successful percutaneous closure of a residual atrial septal defect due to device failure

A 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly i...

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Main Authors:	Sílvia Aguiar Rosa, Filipa Ferreira, Lídia de Sousa, António Fiarresga, José Diogo Martins, Ana Galrinho, Ana Agapito, Paula Fazendas, Fátima F. Pinto, Rui Cruz Ferreira
Format:	Article
Language:	English
Published:	Elsevier 2017-06-01
Series:	Revista Portuguesa de Cardiologia (English Edition)
Online Access:	http://www.sciencedirect.com/science/article/pii/S2174204917301769

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spelling	doaj-bd789a10e01b48db9dc5e2c47ac5ed012020-11-25T02:29:51ZengElsevierRevista Portuguesa de Cardiologia (English Edition)2174-20492017-06-01366475.e1475.e3Successful percutaneous closure of a residual atrial septal defect due to device failureSílvia Aguiar Rosa0Filipa Ferreira1Lídia de Sousa2António Fiarresga3José Diogo Martins4Ana Galrinho5Ana Agapito6Paula Fazendas7Fátima F. Pinto8Rui Cruz Ferreira9Cardiology Department, Santa Marta Hospital, Lisbon, Portugal; Corresponding author.Cardiology Department, Garcia de Orta Hospital, Almada, PortugalCardiology Department, Santa Marta Hospital, Lisbon, PortugalCardiology Department, Santa Marta Hospital, Lisbon, PortugalPaediatric Cardiology Department, Santa Marta Hospital, Lisbon, PortugalCardiology Department, Santa Marta Hospital, Lisbon, PortugalCardiology Department, Santa Marta Hospital, Lisbon, PortugalCardiology Department, Garcia de Orta Hospital, Almada, PortugalPaediatric Cardiology Department, Santa Marta Hospital, Lisbon, PortugalCardiology Department, Santa Marta Hospital, Lisbon, PortugalA 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified this finding by showing a perforation of the device membrane coating. The patient underwent transcatheter closure of the residual shunt with a 20 mm Ultrasept PFO® device. The procedure was guided by fluoroscopy and real-time 3D TEE. At the end of the procedure 3D TEE documented correct device deployment with complete defect coverage and absence of residual shunt. Resumo: Doente de 39 anos, género feminino, foi submetida com sucesso a encerramento percutâneo de comunicação interauricular do tipo ostium secundum com dispositivo Ultrasept Atrial Septal Defect Occluder® de 22 mm. O ecocardiograma transesofágico, realizado dois anos após implantação, revelou shunt esquerdo-direito residual de novo através do dispositivo corretamente implantado. O ecocardiograma transesofágico tridimensional (ETE3D) objetivou uma perfuração do revestimento do dispositivo. A doente foi submetida a encerramento percutâneo do shunt residual com dispositivo UltraSept PFO Occluder® de 20 mm. O procedimento foi guiado por fluoroscopia e ETE3D. No final do procedimento por ETE3D, foi documentado o correto posicionamento do dispositivo, com completa cobertura da perfuração e ausência de shunt residual. Keywords: Atrial septal defect, Residual shunt, Percutaneous intervention, Palavras-chave: Comunicação interauricular, Shunt residual, Intervenção percutâneahttp://www.sciencedirect.com/science/article/pii/S2174204917301769
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Sílvia Aguiar Rosa Filipa Ferreira Lídia de Sousa António Fiarresga José Diogo Martins Ana Galrinho Ana Agapito Paula Fazendas Fátima F. Pinto Rui Cruz Ferreira
spellingShingle	Sílvia Aguiar Rosa Filipa Ferreira Lídia de Sousa António Fiarresga José Diogo Martins Ana Galrinho Ana Agapito Paula Fazendas Fátima F. Pinto Rui Cruz Ferreira Successful percutaneous closure of a residual atrial septal defect due to device failure Revista Portuguesa de Cardiologia (English Edition)
author_facet	Sílvia Aguiar Rosa Filipa Ferreira Lídia de Sousa António Fiarresga José Diogo Martins Ana Galrinho Ana Agapito Paula Fazendas Fátima F. Pinto Rui Cruz Ferreira
author_sort	Sílvia Aguiar Rosa
title	Successful percutaneous closure of a residual atrial septal defect due to device failure
title_short	Successful percutaneous closure of a residual atrial septal defect due to device failure
title_full	Successful percutaneous closure of a residual atrial septal defect due to device failure
title_fullStr	Successful percutaneous closure of a residual atrial septal defect due to device failure
title_full_unstemmed	Successful percutaneous closure of a residual atrial septal defect due to device failure
title_sort	successful percutaneous closure of a residual atrial septal defect due to device failure
publisher	Elsevier
series	Revista Portuguesa de Cardiologia (English Edition)
issn	2174-2049
publishDate	2017-06-01
description	A 39-year-old woman underwent uneventful percutaneous occlusion of an ostium secundum atrial septal defect (ASD) with a 22 mm Ultrasept ASD Occluder®. Transesophageal echocardiography (TEE) performed two years after implantation revealed a de novo residual left-to-right shunt through the correctly implanted device. Three-dimensional transesophageal echocardiography (3D TEE) further clarified this finding by showing a perforation of the device membrane coating. The patient underwent transcatheter closure of the residual shunt with a 20 mm Ultrasept PFO® device. The procedure was guided by fluoroscopy and real-time 3D TEE. At the end of the procedure 3D TEE documented correct device deployment with complete defect coverage and absence of residual shunt. Resumo: Doente de 39 anos, género feminino, foi submetida com sucesso a encerramento percutâneo de comunicação interauricular do tipo ostium secundum com dispositivo Ultrasept Atrial Septal Defect Occluder® de 22 mm. O ecocardiograma transesofágico, realizado dois anos após implantação, revelou shunt esquerdo-direito residual de novo através do dispositivo corretamente implantado. O ecocardiograma transesofágico tridimensional (ETE3D) objetivou uma perfuração do revestimento do dispositivo. A doente foi submetida a encerramento percutâneo do shunt residual com dispositivo UltraSept PFO Occluder® de 20 mm. O procedimento foi guiado por fluoroscopia e ETE3D. No final do procedimento por ETE3D, foi documentado o correto posicionamento do dispositivo, com completa cobertura da perfuração e ausência de shunt residual. Keywords: Atrial septal defect, Residual shunt, Percutaneous intervention, Palavras-chave: Comunicação interauricular, Shunt residual, Intervenção percutânea
url	http://www.sciencedirect.com/science/article/pii/S2174204917301769
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Successful percutaneous closure of a residual atrial septal defect due to device failure

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