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  • Title: A rare complication of atrial septal occluders: diagnosis by transthoracic echocardiography.
    Author: Dialetto G, Covino FE, Scognamiglio G, Della Corte A, Manduca S, Iacono C, Calabrò R, Cotrufo M.
    Journal: J Am Soc Echocardiogr; 2006 Jun; 19(6):836.e5-8. PubMed ID: 16762768.
    Abstract:
    Atrial septal defect transcatheter occlusion techniques have become a reliable alternative to surgical procedures. Possible complications can derive from unfavorable anatomy of the defect and over-dimensioning of the device. We describe the first case ever reported of anterior mitral leaflet perforation caused by an atrial septal occluder. The diagnosis was performed by conventional echocardiography and 3 dimensions helped for a more accurate anatomic definition. Device removal, atrial septal defect closure, and repair of the mitral tear were then successfully performed.
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