Percutaneous Closure of a "Doughnut Leak" Around an Atrial Septal Occluder Device in a Patient With Recurrent Migraines

J Invasive Cardiol. 2020 Sep;32(9):E242-E243.

Abstract

A 10-year-old girl with pulmonary atresia status post transannular patch repair and secundum atrial septal defect (ASD) underwent percutaneous ASD closure 5 years earlier. There was improvement in arterial saturation from 86% to 98% with minimal residual right-to-left shunt. Despite subsequent medical therapy, she developed recurrent migraines, which led us to pursue percutaneous closure of the shunt.

Keywords: atrial septal defect; transcatheter device closure.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Child
  • Female
  • Heart Septal Defects, Atrial* / diagnosis
  • Heart Septal Defects, Atrial* / surgery
  • Humans
  • Migraine Disorders* / etiology
  • Pulmonary Atresia / diagnosis
  • Pulmonary Atresia / surgery
  • Septal Occluder Device* / adverse effects
  • Treatment Outcome