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Cobra head deformity of atrial septal occluder: blessing in disguise

Published online by Cambridge University Press:  18 November 2020

Uma Devi Karuru Open the ORCID record for Uma Devi Karuru [Opens in a new window]  and
Saurabh Kumar Gupta Open the ORCID record for Saurabh Kumar Gupta [Opens in a new window]
Uma Devi Karuru
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
Saurabh Kumar Gupta*
Affiliation:
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr Saurabh Kumar Gupta, Room No. 9, 8th floor, Cardio-thoracic Centre, All India Institute of Medical Sciences, New Delhi110029, India. Tel: +91-11-26594944; Fax: +91-26588663. E-mail: drsaurabhmd@gmail.com
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Abstract

It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.

Keywords

Atrial septal defectAtrial septal occluderCobra head deformity
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 488 - 489
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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