HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Tao, K.-y. Articles by Song, H.-b. Search for Related Content PubMed Articles by Tao, K.-y. Articles by Song, H.-b. Related Collections Minimally invasive surgery

J Thorac Cardiovasc Surg 2009;137:1024-1027
© 2009 The American Association for Thoracic Surgery

Brief Communication

Give the patient another chance: Peratrial device closure of a secundum atrial septal defect that failed percutaneous device closure

^a Department of Thoracic and Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, China
^b Department of Echocardiography, West China Hospital, Sichuan University, Chengdu, China
^c Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China
^d Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China

Received for publication January 11, 2008; revisions received February 15, 2008; accepted for publication March 23, 2008.

^_* Address for reprints: Qi An, MS, Department of Thoracic and Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China. (Email: anqi8890@163.com).

The first 20% of the full text of this article appears below.

Percutaneous device closure of a secundum atrial septal defect (ASD) is an effective and fairly safe alternative to surgical intervention, but it is technically challenging and is not always performed smoothly in patients with large ASDs.^1,2 We report a deft recovery of a dislocated ASD occluder in the right atrium without cardiopulmonary bypass (CPB) through an incision on the right atrial wall with inferior partial median sternotomy, after which a peratrial device closure of the ASD was successfully performed.

Clinical Summary

A 33-year-old woman with a large secundum ASD of 32 x 28 x 27 mm in size with a 13-mm superior rim, a 12-mm inferior rim, and an insufficient anterior rim was referred to our hospital. A percutaneous device closure was performed under fluoroscopic guidance in a catheterization laboratory, but the 34-mm occluder was dislocated into the right atrium after its release from the cable, and attempts to recover the occluder were failed. Considering the risk of blocking the tricuspid ( Figure 1, A), an emergency operation was required. In the . . . [Full Text of this Article]