Journal of Vascular Medicine & Surgery

Abstract

Closure of Iatrogenic Atrial Septal Defect with Percutaneous Closure Device or Surgery: Which Technique is Safe?

Ersin Kadirogullari, Ünal Aydın, Onur Şen, Kürşat Öz and Ä°hsan Bakır

An iatrogenic atrial septal defect (iASD) is a rare complication in cardiac surgery. A postoperative iASD was closed with a percutaneous closure device in a 37-year-old patient who had undergone mitral valve replacement via transseptal incision. Hemodynamic instability occurred in the 6th hour of the post-procedural period, and echocardiography imaging showed the closure device free in the left atrium. An emergent operation was performed on the patient, the device was retrieved, and the iASD was closed with a pericardial patch. In this study we evaluated the efficiency and safety of percutaneous closure devices, which have been used for iASDs.