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Recurrent Strokes After Gore Septal Occluder Device Closure of Atrial Septal Defect

Adnan Alhadlaq1, Arif Hussain2, Camille Hancock Friesen3

  • 1Pediatric Cardiology, Chest Disease Hospital, Kuwait Ministry of Health, Kuwait City, Kuwait.

The Canadian Journal of Cardiology
|November 7, 2017
PubMed

Insights

Recurrent strokes in a teenager were linked to a Gore Septal Occluder device used for atrial septal defect closure. The device caused injury, leading to clot formation and brain embolization.

Area of Science:

  • Cardiology
  • Neurology
  • Medical Devices

Background:

  • Atrial septal defects (ASDs) are commonly closed using occluder devices.
  • Teenagers with congenital heart defects require careful monitoring post-intervention.

Observation:

  • A healthy teenager experienced recurrent strokes after ASD closure with a Gore Septal Occluder.
  • The occluder device's disk was implicated in the adverse events.

Findings:

  • The Gore Septal Occluder disk caused friction injury to the left atrial endocardium.
  • This injury promoted thrombus formation, leading to cerebral embolization.

Implications:

  • Device-induced endocardial injury can be a cause of thromboembolism.
  • Surgical intervention may be necessary to manage complications from cardiac closure devices.

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