Abstract

Percutaneous device closure of atrial septal defects (ASD) has proven to be safe and it is nowadays the standard treatment for ASDs. Immediate or late device embolization is a rare but potential complication of every attempted ASD device closure. We report a case of asymptomatic Amplatzer Septal Occluder into the left ventricular outflow tract (LVOT) detected by routine transthoracic echocardiography 3 months after successful implantation in a stable patient.

Highlights

  • Atrial septal defect (ASD) is the fourth most common congenital heart defect, with an incidence of 2.78 per 10,000 live births. [1] The gold standard treatment of ASD since 1960s was surgery with good postoperative results on the long-term follow-up

  • In 1975 King&Mills performed the first application of ASD closure in the human population using a transvenous umbrella during cardiac catheterization.[2]

  • As in any interventional cardiac catheterisation procedure, percutaneous transcatheter ASD closure is associated with all the general risks, the most common and frequent immediate complications related to the transcatheter itself being vessel or cardiac perforation, the introduction of an infectious pathogen and the risk of contrast agent reactions

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Summary

Introduction

Atrial septal defect (ASD) is the fourth most common congenital heart defect, with an incidence of 2.78 per 10,000 live births. [1] The gold standard treatment of ASD since 1960s was surgery with good postoperative results on the long-term follow-up. [1] The gold standard treatment of ASD since 1960s was surgery with good postoperative results on the long-term follow-up. In 1975 King&Mills performed the first application of ASD closure in the human population using a transvenous umbrella during cardiac catheterization.[2] Percutaneous atrial septal defect closure using the Amplatzer septal occluder (ABBOTT) or many other devices is an established alternative treatment to the classical surgery with excellent safety, clinical outcome, being an effective procedure. In the last 2 decades, this technique replaced surgical closure of ASDs in most centres, becoming a widely accepted and practiced procedure. With the accelerated growth in transcatheter device closure, many centres started to report outcome data for this procedure with a general interest focused on its complications. The need for immediate surgery following the implantation is rare (

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