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Updated: Feb 1, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Fracture of a Transcatheter Atrial Septal Defect Occluder Device Causing Mitral Valve Perforation
Raphael S Werner1, René Prêtre2, Francesco Maisano3
1Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland.
Abstract:
Transcatheter atrial septal defect (ASD) device closure has gained increasing popularity over the past decades due to shorter hospital stay and the absence of skin scars. However, concern about the seriousness of device-related complications is accumulating. We report a case of device fracture in a young asymptomatic woman almost 4 years after percutaneous secundum ASD closure, resulting in mitral valve perforation. Subsequently, elective surgical removal of the device and mitral valve reconstruction was performed. This case demonstrates that complications from transcatheter ASD closure may even occur late after implantation.
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