Closure of Iatrogenic Atrial Septal Defect After Placement of Left Atrial Appendage Closure Device

Vikas Sunder; Sajjad Sabir; George Mark; George Kaddissi; Priscilla Peters; Loheetha Ragupathi

doi:10.1016/j.jaccas.2022.06.015

Closure of Iatrogenic Atrial Septal Defect After Placement of Left Atrial Appendage Closure Device

JACC Case Rep. 2022 Aug 17;4(16):1053-1055. doi: 10.1016/j.jaccas.2022.06.015.

Authors

Vikas Sunder¹, Sajjad Sabir¹, George Mark¹, George Kaddissi¹, Priscilla Peters¹, Loheetha Ragupathi¹

Affiliation

¹ Cooper University Hospital, Camden, New Jersey, USA.

Abstract

An 86-year-old woman experienced hypoxia with right-to-left flow across an iatrogenic atrial septal defect after deployment of a left atrial appendage closure device. Emergent closure of the defect was performed with an atrial septal occluder device with resolution of hypoxia. (Level of Difficulty: Intermediate.).

Keywords: 3-dimensional imaging; ASD, atrial septal defect; LAAC, left atrial appendage closure; PFO, patent foramen ovale; TEE, transesophageal echocardiography; atrial septal defect; echocardiography; iASD, iatrogenic atrial septal defect; pulmonary hypertension.