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Late systemic desaturation after transcatheter device closure of atrial septal defect

Published online by Cambridge University Press:  19 December 2022

Vivek Bagaria Open the ORCID record for Vivek Bagaria [Opens in a new window]  and
Channabasavaraj S. Hiremath
Vivek Bagaria
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India
Channabasavaraj S. Hiremath*
Affiliation:
Department of Cardiothoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India
*
Author for correspondence: Dr. C S Hiremath, MCh, Head of Department, Department of Cardiothoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Whitefield, Bangalore 560066, India. Tel: +919481119696. E-mail: cshiremath.ctvs@gmail.com
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Abstract

Transcatheter device closure has emerged as the preferred treatment for ostium secundum atrial septal defects with adequate margins, occasionally requiring surgical intervention to manage complications. We report a case of a young female patient who presented with systemic desaturation and exertional dyspnoea 5 years after device closure. Evaluation demonstrated anterior malposition of the septal occluder, with the right atrial rim of the device diverting the blood from the inferior vena cava to the left atrium. She underwent surgical extraction of the device and pericardial patch closure of the atrial septal defect.

Keywords

Atrial septal defecttranscatheter device closuredevice malposition and surgical device retrieval
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 7 , July 2023 , pp. 1223 - 1225
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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