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European Journal of Echocardiography 2008 9(2):294-295; doi:10.1016/j.euje.2006.09.006
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2006. For permissions please email: journals.permissions@oxfordjournals.org

Percutaneous closure of an iatrogenic atrial septal defect

Alex Pitcher1, Ryan G. Schrale2,*, Andrew R.J. Mitchell3 and Oliver Ormerod2

1 Royal Berkshire Hospital, Reading, UK
2 Department of Cardiology, John Radcliffe Hospital, Oxford, UK
3 Jersey General Hospital, Jersey, UK

Received 4 September 2006; accepted after revision 30 September 2006; online publish-ahead-of-print 10 November 2006.

* Corresponding author. Tel: +44 1865 220648; fax: +44 1865 221194. E-mail address: rschrale{at}hotmail.com (R.G. Schrale).


  Abstract

We report the successful percutaneous closure of an iatrogenic atrial septal defect in a 71-year-old woman. The patient had undergone mitral valve replacement and coronary artery bypass grafting, followed by redo surgery to repair a para-valvular mitral leak. Post-operatively she remained significantly limited by dyspnoea. Repeat transoesophageal echocardiography documented a large iatrogenic atrial septal defect. The patient underwent percutaneous, trans-femoral closure of the defect using the Helex septal occluder (W.L. Gore, Newark, Delaware, USA) with dramatic clinical improvement.

Keywords: Atrial septal defect; Mitral valve surgery; Iatrogenic; Percutaneous closure


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