Late recognition of Gore Helex atrial septal occluder fracture and migration. Issue 3 (September 2021)

• Record Type: Journal Article
• Authors: Tyagi, Sudhi; Patil, Harshal; Cinquegrani, Michael; Pearson, Paul; Joyce, Lyle; Garster, Noelle; Salinger, Michael
• Is Part Of: Journal of cardiology cases. Volume 24:Issue 3(2021)
• Page Start: 140
• Page End: 143
• Publication Date: 2021-09
• Subjects: Patent foramen ovale -- Structural heart disease -- Interventional cardiology -- Stroke -- Device Complication; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2021.02.017
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: Patent foramen ovale (PFO) closure is indicated in cryptogenic stroke. Percutaneous PFO closure is both feasible and highly efficacious with low incidence of device-related complications. When complications occur, they are usually discovered within 6 weeks of device deployment. We describe the case of a partially embolised and fractured Gore Helex Septal Occluder device recognised nearly 9 years after placement requiring surgical explant. <Learning objective: Device-related complications with patent foramen ovale closure devices are exceeding rare. Our case highlights the need for continued long-term device monitoring with periodic imaging given the ongoing risk for device-related complications.>