Evbu Enakpene, M.D., Department of Medicine, Maimonides Medical Center, 4802 10^th Avenue, Brooklyn, NY 11219. Fax: 1-347-663-5617; E-mail: [email protected]

Financial disclosures: None.

All authors contributed equally to the manuscript.

Read the full text

About

PDF

Tools

Share a link

Email
Wechat
Bluesky

Abstract

We present a case of a rare complication of atrial septal defect (ASD) device closure causing cor triatriatum dextro iatrogenica. A 29-year-old female presented with sudden onset dysarthria and ataxia and was found to have basilar and thalamic infarcts. Further evaluation using transthoracic echocardiography revealed an ASD which was repaired using the Gore HELEX septal occluder. Transesophageal echocardiography done after 2 months of ASD closure revealed an interesting finding termed cor triatriatum dextro iatrogenica. We briefly describe the case and discuss the relevant literature. (Echocardiography 2012;29:E45-E47)

Supporting Information

Movie clip for Figure 1. Transesophageal echocardiography showing the bent device and Saline bubble contrast injection in arm vein showing bubbles in the superior vena cava part of right atrium with no filling of inferior vena cava part.

Movie clip for Figure 2. Transesophageal echocardiography showing ASD closure device with the bent part against Eustachian valve creating a septum in right atrium dividing it into an inferior vena cava part and a superior vena cava part.

Movie clip for Figure 3. Transesophageal echocardiography view showing left atrium on the top followed by atrial septum below it followed by additional septum in right atrium created by the bent ASD occluder device separating it into a SVC part and an IVC part.

Additional movie clip for Figure 3. Transesophageal echocardiography focusing on right atrium showing flow from the IVC part to the SVC part mimicking secundum atrial septal defect.

Supplementary movie clip. Transesophageal echocardiography showing dilated IVC with no respiratory variation consistent with elevated right atrial pressures.

Filename	Description
ECHO_1545_sm_FigureS1.avi4 MB	Supporting info item
ECHO_1545_sm_FigureS2.avi3.6 MB	Supporting info item
ECHO_1545_sm_FigureS3.avi1.9 MB	Supporting info item
ECHO_1545_sm_Additional_FigureS3.avi1.7 MB	Supporting info item
ECHO_1545_sm_Supplementary_movie.avi1.6 MB	Supporting info item

Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

References

1 Hlavacek AM, Crawford FA, Jr., Chessa KS, et al: Real-time three-dimensional echocardiography is useful in the evaluation of patients with atrioventricular septal defects. Echocardiography 2006; 23(3): 225–231.
10.1111/j.1540-8175.2006.00193.x
PubMed Web of Science® Google Scholar
2 King TD, Thompson SL, Steiner C, et al: Secundum atrial septal defect. Nonoperative closure during cardiac catheterization. JAMA 1976; 235(23): 2506–2509.
10.1001/jama.1976.03260490024013
CAS PubMed Web of Science® Google Scholar
3 Jones TK, Latson LA, Zahn E, et al: Results of the U.S. multicenter pivotal study of the HELEX septal occluder for percutaneous closure of secundum atrial septal defects. J Am Coll Cardiol 2007; 49(22): 2215–2221.
10.1016/j.jacc.2006.11.053
PubMed Web of Science® Google Scholar
4 Ewert P, Berger F, Daehnert I, et al: Transcatheter closure of atrial septal defects without fluoroscopy: Feasibility of a new method. Circulation 2000; 101(8): 847–849.
10.1161/01.CIR.101.8.847
CAS PubMed Web of Science® Google Scholar
5 Yared K, Baggish AL, Solis J, et al: Echocardiographic assessment of percutaneous patent foramen ovale and atrial septal defect closure complications. Circ Cardiovasc Imaging 2009; 2009(2): 141–149.
10.1161/CIRCIMAGING.108.832436
Web of Science® Google Scholar
6 Berdat PA, Chatterjee T, Pfammatter JP, et al: Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale. J Thorac Cardiovasc Surg 2000; 120(6): 1034–1039.
10.1067/mtc.2000.111054
Google Scholar
7 Rao PS, Sideris EB, Hausdorf G, et al: International experience with secundum atrial septal defect occlusion by the buttoned device. Am Heart J 1994; 128(5): 1022–1035.
10.1016/0002-8703(94)90602-5
CAS PubMed Web of Science® Google Scholar
8 Lloyd TR, Rao PS, Beekman RH, 3rd, et al: Atrial septal defect occlusion with the buttoned device (a multi-institutional U.S. trial). Am J Cardiol 1994; 73(4): 286–291.
10.1016/0002-9149(94)90235-6
CAS PubMed Web of Science® Google Scholar
9 Chessa M, Carminati M, Butera G, et al: Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. J Am Coll Cardiol 2002; 39(6): 1061–1065.
10.1016/S0735-1097(02)01711-4
PubMed Web of Science® Google Scholar
10 Roberson DA, Javois AJ, Cui W, et al: Double atrial septum with persistent interatrial space: Echocardiographic features of a rare atrial septal malformation. J Am Soc Echocardiogr 2006; 19(9): 1175–1181.
10.1016/j.echo.2006.04.001
PubMed Web of Science® Google Scholar

Citing Literature

Volume29, Issue2

February 2012

Pages E45-E47

Cor Triatriatum Dextro Iatrogenica: An Unusual Complication of Atrial Septal Defect Closure Device

Abstract

Supporting Information

References

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Cor Triatriatum Dextro Iatrogenica: An Unusual Complication of Atrial Septal Defect Closure Device

Abstract

Supporting Information

References

Citing Literature

References

Related

Information