Document Detail


Cryptogenic stroke after percutaneous closure of an atrial septal defect.
MedLine Citation:
PMID:  22484783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present the case of a patient who underwent a percutaneous secundum atrial septal defect (ASD II) closure with an undersized septal occluder device. One week and one month later she experienced two transient ischemic attacks. Three-dimensional transesophageal echocardiography (TEE) revealed a residual patent foramen ovale (PFO) with a positive Valsalva bubble test. She underwent a second procedure under the 3D TEE guidance and the PFO was successfully closed percutaneously using a PFO occluder device that was attached to the ASD device. Accurate ASD and PFO morphology assessment and appropriate device selection are the key factors in the success of percutaneous closure. 3D TEE is an innovative diagnostic technique, providing a complete description of the cardiac defect and improving spatial orientation. Real-time 3D TEE is the appropriate guidance for successful and accurate positioning of the device.
Authors:
Petros S Dardas; Vlasis Ninios; Nikos Mezilis; Efstratios K Theofilogiannakos; Dimitris Tsikaderis; Vassilis Thanopoulos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hellenic journal of cardiology : HJC = Hellēnikē kardiologikē epitheōrēsē     Volume:  53     ISSN:  2241-5955     ISO Abbreviation:  Hellenic J Cardiol     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-04-09     Completed Date:  2012-08-14     Revised Date:  2013-08-07    
Medline Journal Info:
Nlm Unique ID:  101257381     Medline TA:  Hellenic J Cardiol     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
Affiliation:
Department of Cardiology, St. Luke's Hospital, Thessaloniki, Greece. pdardas@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Catheterization / adverse effects*,  methods
Cardiac Surgical Procedures / adverse effects*,  methods
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart Septal Defects, Atrial / surgery*,  ultrasonography
Humans
Septal Occluder Device / adverse effects*
Stroke / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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