Highly fenestrated septum primum leads to failure of Amplatzer septal defect closure

The Annals of Thoracic Surgery
Jeremy McGarveyMarco A Zenati

Abstract

A patient presenting with a history of transient ischemic attacks was initially diagnosed with a large secundum-type atrial septal defect by transesophageal echocardiography. Subsequent attempts to percutaneously repair the defect using an Amplatzer septal occlude device (AGA Medical, Plymouth, MN) failed to position correctly on multiple attempts. At the time of surgery, a largely deficient and highly fenestrated septum primum was found, which was likely the cause of the Amplatzer device (AGA Medical) failure. The defect was then definitively repaired using a bovine pericardial patch without incident.

References

Aug 2, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Bhava Ramalingam Jawahar KannanRaman Krishna Kumar
Oct 27, 2004·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Katja ProkseljTomaz Podnar
Dec 13, 2005·Journal of Interventional Cardiology·Ralph HeinHorst Sievert

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Citations

Jul 5, 2015·The Annals of Thoracic Surgery·Tomohiro SaitoRoland Hetzer

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