Transcatheter closure of a huge iatrogenic atrial septal defect: A case report. Issue 50 (December 2017)

• Record Type: Journal Article
• Authors: Yang, Yong; Li, Xi; Chen, Mao; Feng, Yuan
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 96:Issue 50(2017)
• Publication Date: 2017-12
• Subjects: atrial septal defect -- case report -- iatrogenic -- transcatheter closure; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000009216
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Iatrogenic atrial septal defects caused by cardiac surgery are rare complications that are traditionally repaired through reoperations; unfortunately, reoperations are accompanied by high risk and trauma. Patient concerns: Herein, we report a rare case of a huge atrial septal defect after mitral and aortic mechanical valve replacement. Diagnoses: Transesophageal echocardiography revealed a 20 × 33 mm atrial septal defect with a mainly left-to-right shunt and bidirectional shunt. Interventions: The defect was successfully occluded using a Shape Memory septal occlude with a waist diameter of 42 mm. Outcomes: At follow-up 6 months after, the patient's symptoms were remarkably relieved and chest radiograph showed obvious improvement of the pulmonary congestion. Lessons: Percutaneous device treatment can be used as an alternative to surgery in iatrogenic atrial septal defects if the anatomical condition of the septal defect is appropriate for transcatheter closure.