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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: [email protected]
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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

Fischer, G, Stieh, J, Uebing, A, Hoffmann, U, Morf, G, Kramer, HH. Experience with transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder: a single centre study in 236 consecutive patients. Heart 2003;89:199–204.CrossRefGoogle ScholarPubMed
Cooke, JC, Gelman, JS, Harper, RW. Cobra head malformation of the Amplatzer septal occluder device: an avoidable complication of percutaneous ASD closure. Catheter Cardiovasc Interv 2001;52:83–85.10.1002/1522-726X(200101)52:1<83::AID-CCD1020>3.0.CO;2-#3.0.CO;2-#>CrossRefGoogle Scholar
Waight, DJ, Hijazi, ZM. Amplatzer devices: benign Cobra head formation. Catheter Cardiovasc Interv 2001;52:86–87.10.1002/1522-726X(200101)52:1<86::AID-CCD1021>3.0.CO;2-U3.0.CO;2-U>CrossRefGoogle Scholar
Yip, WC, Chan, KY. An unusual encounter of a “cobra” in the heart: rare appearance of an Amplatzer Septal Occluder. J Interven Cardiol 2001;14:215–218.10.1111/j.1540-8183.2001.tb00738.xCrossRefGoogle ScholarPubMed
Trehan, V, Mukhopadhyay, S, Yusuf, J, Gupta, MD, Suryavanshi, S, Mehta, V. Cobra head deformity of Amplatzer septal occluder. Ind Heart J 2005;57:78–79.Google ScholarPubMed
Estevez, LR, Martinez, BI, Salgado, FJ, Rued, NF. Cobra-like deformation of Amplatzer devices used for closing atrial septal defects: can it be avoided? Rev Esp Cardiol 2010;63:495–496.Google Scholar
Hoole, SP, McNab, DC, Rana, BS, Davies, WR, Shapiro, LM. Room to rotate encourages Amplatzer septal occluder Cobra head configuration. Interv Cardiol J 2015;1:1.Google Scholar

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