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European Journal of Echocardiography 2007 8(2):155-157; doi:10.1016/j.euje.2005.12.013
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Copyright © 2005, The European Society of Cardiology

Echocardiographic visualization of laceration of atrial septum during balloon sizing of atrial septal defect*

Ahmed A. Alsaileek*, Ahmad Omran, Michael Godman and Hani K. Najm

King Abdulaziz Cardiac Center, National Guard Health Affairs, Riyadh, Saudi Arabia

Received 13 September 2005; received in revised form 14 December 2005; accepted after revision 23 December 2005.

* Corresponding author. Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA. alsaileek.ahmed{at}mayo.edu


   Abstract

Transcatheter closure of atrial septal defect (ASD) has become an accepted alternative to surgery. A number of complications associated with ASD device closure have been recognized but most are rare or minor in severity. We report a rare complication of atrial septal laceration during transcatheter closure of secundum ASD. We discuss the diagnostic confusion, which resulted in the decision for surgical correction.

Keywords: Atrial septal defect; Amplatzer device; Transesophageal echocardiography; Laceration; Complication; Congenital; Device closure; Echocardiography


* There is no grant support for this case report.


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