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Background <p>Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management.</p> Case presentation <p>We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure.</p> Conclusion <p>Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.</p>

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Closure of an ascending aorta perforation during a transseptal puncture procedure: transcatheter closure with a muscular ventricular septal defect occluder

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月13日

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  • Yanbin Song,
  • Dawei Lin,
  • Xiaochun Zhang,
  • Daxin Zhou

摘要

Background

Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management.

Case presentation

We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure.

Conclusion

Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.