Iatrogenic Atrial Septal Defect Closure Following Mitral Transcatheter Edge-to-Edge Repair: When Do You Close?

Authors :: Shetty M
Lampert MB
Levisay J
Erwin JP 3rd
Ricciardi MJ
Source :: JACC. Case reports [JACC Case Rep] 2020 Dec 17; Vol. 3 (3), pp. 357-360. Date of Electronic Publication: 2020 Dec 17 (Print Publication: 2021).
Publication Year :: 2020
Abstract: Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dependent on their size, directionality of flow, and underlying hemodynamics. We discuss an uncommon scenario of a post-transcatheter edge-to-edge repair iASD that required immediate closure. ( Level of Difficulty: Intermediate. ).<br />Competing Interests: Dr. Ricciardi has received consulting and speaker fees from Abbott. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.<br /> (© 2021 The Authors.)

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