Mechanical hemolysis secondary to percutaneous repair of an iatrogenic Gerbode defect with the Amplatzer™ Septal Occluder

The Gerbode defect is defined as an abnormal communication between the left ventricle and the right atrium, and is etiologically classified as congenital or acquired (iatrogenic or not). The typical treatment consists of surgical repair of the shunt, but transcatheter occlusion of this condition has proven to be a safe and effective therapeutic alternative for such patients, especially for those with prior surgeries. The aim of this study was to report a case of transcatheter closure of an acquired Gerbode defect, using the Amplatzer™ Septal Occluder device, in a 58-year-old patient, with two prior mitral valve replacements, and the consequent post-procedure mechanical hemolysis.

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Iatrogenic “aortopulmonary window”: percutaneous rescue closure as a bridge to surgical repair

Cardiology in the Young ◽

10.1017/s104795111500164x ◽

2015 ◽

Vol 26 (3) ◽

pp. 609-611 ◽

Cited By ~ 1

Author(s):

Davide Marini ◽

Gaetana Ferraro ◽

Gabriella Agnoletti

Keyword(s):

Surgical Repair ◽

Arterial Switch Operation ◽

Pulmonary Trunk ◽

Aortopulmonary Window ◽

Severe Stenosis ◽

Severe Scoliosis ◽

Switch Operation ◽

Septal Occluder Device ◽

Occluder Device ◽

The Right

AbstractWe present the case of a 15-year-old boy who underwent arterial switch operation due to transposition of the great arteries with severe scoliosis, obstruction of the right coronary ostium, and severe stenosis of the pulmonary trunk. Balloon angioplasty caused a large aortopulmonary shunt provoking myocardial ischaemia and pulmonary hypertension. The traumatic “aortopulmonary window” was percutaneously occluded using an Amplatzer Septal Occluder device as a bridge to surgical repair.

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Case of a 33-year-old woman who required open surgical repair for the removal of an Amplatzer™ Septal Occluder device because fistulas had formed through the right atrium and noncoronary sinus within her native aortic root

ASVIDE ◽

10.21037/asvide.2018.533 ◽

2018 ◽

Vol 5 ◽

pp. 533-533

Author(s):

Vicente Orozco-Sevilla ◽

Scott A. Weldon ◽

Scott A. LeMaire ◽

Ourania Preventza ◽

Kim I. de la Cruz ◽

...

Keyword(s):

Aortic Root ◽

Right Atrium ◽

Surgical Repair ◽

Open Surgical Repair ◽

Septal Occluder Device ◽

Occluder Device ◽

The Right

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Cobrahead Deformity in the Right Atrial Disc of a New-Generation Occlutech Figulla Flex II Atrial Septal Defect Occluder Device

Texas Heart Institute Journal ◽

10.14503/thij-14-4179 ◽

2015 ◽

Vol 42 (5) ◽

pp. 454-457 ◽

Cited By ~ 2

Author(s):

Teoman Kilic ◽

Ertan Ural ◽

Tayfun Sahin

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Transcatheter Closure ◽

Right Atrial ◽

Amplatzer Septal Occluder ◽

Atrial Septal Defect Closure ◽

Septal Occluder Device ◽

Occluder Device ◽

The Right ◽

New Generation

Cobrahead deformity is a known (but uncommon) phenomenon associated with the left atrial disc of the Amplatzer or Occlutech Figulla septal occluder device during percutaneous transcatheter atrial septal defect closure. It has also been postulated that the right atrial disc of the Amplatzer septal occluder device might upon occasion exhibit the cobrahead malformation. To date, only one case report concerning the cobrahead deformity in the right atrial disc of an Amplatzer septal occluder has been published, if we discount a report published as a letter to the manufacturer. Here we present the first report (known to us) of a cobrahead deformity in the right atrial disc of an Occlutech Figulla Flex II atrial septal defect occluder device during transcatheter closure of a complex atrial septal defect.

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Cobra head deformity of atrial septal occluder: blessing in disguise

Cardiology in the Young ◽

10.1017/s1047951120004084 ◽

2020 ◽

pp. 1-2

Author(s):

Uma Devi Karuru ◽

Saurabh Kumar Gupta

Keyword(s):

Atrial Septal Defect ◽

Left Atrial ◽

Septal Defect ◽

Atrial Septum ◽

Right Atrial ◽

Septal Occluder Device ◽

Occluder Device ◽

The Right

Abstract It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.

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Late Migration of a Sideris Septal Occluder Device for Closure of Atrial Septal Defect into the Left Atrium With Mitral Valve Obstruction

The American Journal of Cardiology ◽

10.1016/j.amjcard.2006.12.083 ◽

2007 ◽

Vol 99 (10) ◽

pp. 1479-1480 ◽

Cited By ~ 5

Author(s):

Ju-Feng Hsiao ◽

Lung-An Hsu ◽

Chi-Jen Chang ◽

Chun-Li Wang ◽

Wan-Jing Ho ◽

...

Keyword(s):

Mitral Valve ◽

Atrial Septal Defect ◽

Left Atrium ◽

Septal Defect ◽

Septal Occluder Device ◽

Occluder Device

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Percutaneous closure of giant ascending aortic pseudoaneurysm: 22 years after modified BlalockTaussig shunt with a septal occluder device

Cardiology in the Young ◽

10.1017/s1047951121003358 ◽

2021 ◽

pp. 1-4

Author(s):

Ikram Massoud ◽

Atef Yehia

Keyword(s):

Standard Treatment ◽

Surgical Repair ◽

Ascending Aorta ◽

Stent Grafts ◽

Fatal Complication ◽

Aortic Pseudoaneurysm ◽

Septal Occluder Device ◽

Occluder Device ◽

Aortopulmonary Fistula ◽

Ascending Aortic Pseudoaneurysm

Abstract Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

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