Live 3D TEE is a valuable tool for planning percutaneous ASD closure and rapidly detecting complications such as device embolization.
Supports adjunctive 3D TEE use in select ASD closures; leaves open need for prospective validation before routine adoption.
Percutaneous closure of secundum atrial defects has become an accepted treatment in part because it is minimally invasive and relatively low risk. Despite recent advances in implantation technique and device improvements, complications occur. Here, we report a case of device embolization during percutaneous repair of an atrial septal defect (ASD) with multiple fenestrations. We highlight the value of using live/real time three-dimensional transesophageal echocardiography to help plan the percutaneous procedure and detect complications.
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Wei et al. (2012) studied this question.
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