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Rescue atrial septal defect closure with the new GORE® cardioform atrial septal defect occluder


Department of Pediatric Cardiology and GUCH Unit, Heart Hospital “G. Pasquinucci”, National Research Council Tuscany Region “G. Monasterio”, Massa, Italy

Correspondence Address:
Dr. Giuseppe Santoro
Via Camillo Sorgente, 31, 84125 – Salerno
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_240_20

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Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 192-194

 

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Atrioventricular block (AVB) is an infrequent but life-threatening complication of transcatheter closure of atrial septal defect (ASD), accounting for 0.1%–6.2% of cases in large series. It has been related to unfavorable defect anatomy as well as size and intrinsic stiffness of the occluding device. In this setting, the new GORE® cardioform ASD occluder (GCA) device could be an appealing technical advance in ASD treatment. We report a case of complete AVB after ASD closure with an Amplatzer septal occluding (Abbott, Plymouth MN, USA) device successfully treated by its percutaneous retrieval and “rescue” deployment of GCA device few months later.






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Department of Pediatric Cardiology and GUCH Unit, Heart Hospital “G. Pasquinucci”, National Research Council Tuscany Region “G. Monasterio”, Massa, Italy

Correspondence Address:
Dr. Giuseppe Santoro
Via Camillo Sorgente, 31, 84125 – Salerno
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_240_20

Rights and Permissions

Atrioventricular block (AVB) is an infrequent but life-threatening complication of transcatheter closure of atrial septal defect (ASD), accounting for 0.1%–6.2% of cases in large series. It has been related to unfavorable defect anatomy as well as size and intrinsic stiffness of the occluding device. In this setting, the new GORE® cardioform ASD occluder (GCA) device could be an appealing technical advance in ASD treatment. We report a case of complete AVB after ASD closure with an Amplatzer septal occluding (Abbott, Plymouth MN, USA) device successfully treated by its percutaneous retrieval and “rescue” deployment of GCA device few months later.






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