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Published on November 13, 2009, doi:10.1510/icvts.2009.216200

Interactive CardioVascular and Thoracic Surgery 2010;10:320.

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Cardiac general

Failed closure of a ventricular septal defect with an Amplatzer occluder

Jens Wippermann 1*, Uta C. Hoppe 1, Narayanswami Sreeram 1, Thorsten Wahlers 1

1 University Hospital of Cologne, Germany

* To whom correspondence should be addressed. E-mail: jens.wippermann{at}uk-koeln.de.


   Abstract
A 74-year-old man was diagnosed to have a ventricular septal defect (VSD), which was detected shortly following transvenous pacemaker implantation. Transoesophageal echocardiography suggested the presence of 2 VSDs, one of which was closed with a device. At surgery, a single large VSD was seen, with the implanted device having embolised into the left ventricle. The defect was successfully closed using a pericardial patch, and the embolised device explanted. Keywords: Ventricular septum defect; Pacemaker; Transcatheter closu





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