Dislocation of Amplatzer Septal Occluder Device after Closure of Secundum Atrial Septal Defect

2010 ◽  
Vol 23 (9) ◽  
pp. 1007.e1-1007.e2 ◽  
Author(s):  
Radoslaw Piatkowski ◽  
Janusz Kochanowski ◽  
Piotr Scislo ◽  
Janusz Kochman ◽  
Grzegorz Opolski
2010 ◽  
Vol 20 (2) ◽  
pp. 226-228 ◽  
Author(s):  
Michala E. F. Pedersen ◽  
Jaswinder S. Gill ◽  
Shakeel A. Qureshi ◽  
Christopher A. Rinaldi

AbstractWe report on a 37-year-old woman presenting with atrial arrhythmias after catheter closure of a secundum atrial septal defect with an Amplatzer septal occluder device. Eletrophysiological studies suggested that the arrhythmia originated from the left atrium, from an area near the device. Transseptal puncture was successfully performed under transoesophageal guidance and the arrhythmia was successfully ablated. This case showed that transseptal puncture can be safely performed in the presence of an Amplatzer septal occluder device under transoesophageal echocardiography guidance and we speculate that the device may have created the substrate for the arrhythmia.


Cephalalgia ◽  
2007 ◽  
Vol 27 (6) ◽  
pp. 550-556 ◽  
Author(s):  
DM Fernández-Mayoralas ◽  
A Fernández-Jaén ◽  
N Muñoz-Jareño ◽  
F Gutiérrez-Larraya ◽  
B Calleja-Pérez ◽  
...  

Several publications have recently suggested that atrial septal defect may be associated with the physiopathology of headache with migraine-type characteristics. We describe four previously asymptomatic paediatric patients with atrial septal defect who underwent percutaneous Amplatzer septal occluder device implantation and who subsequently developed symptoms compatible with migraine headache. The cases had normal echocardiograms after the intervention and a benign course with headache improvement after several weeks or months. There are paediatric patients with atrial septal defect who may dramatically develop migraine symptoms with or without aura following percutaneous correction of their defect. Large paediatric studies are needed to offer accurate prognoses for children and their families. The possibility of using clopidogrel to treat this type of headache is subject to debate.


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