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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 886-888, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Management of complications of Sideris transcatheter devices for atrial septal defect closure

FA Arabia, LJ Rosado, TR Lloyd and GK Sethi
Section of Cardiovascular and Thoracic Surgery, University of Arizona Health Sciences Center, Tucson 85724.

Various devices that can be inserted transvenously to close an ostium secundum atrial septal defect are undergoing clinical trials. Although these are safe and effective in most instances, they may occasionally dislodge or fail to "button" properly, causing migration and embolization. We report two cases in which the occluder and counteroccluder of the Sideris device for transvenous atrial septal defect occlusion (Custom Medical Devices, Amarillo, Tex.) failed to "button" appropriately, migrating in the right atrium in one patient and embolizing to the pulmonary artery in the second patient. An emergency operation was required to retrieve the device and repair the atrial septal defect.

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