Work

Unexpected Stroke Two Years After Atrial Septal Defect Closure: A Case of Late Device Embolization

Year: 2025

Type: article

Abstract: A 42-year-old woman with a C677T mutation in the methylenetetrahydrofolate reductase gene and a history of transient ischemic attack underwent transcatheter closure of an ostium secundum atrial septal defect (ASD-OS) using a Figulla Flex II device. Two years later, she presented with an ischemic stroke. Imaging revealed late embolization of the occluder device to the aorto-iliac bifurcation. As she remained asymptomatic, a conservative approach was adopted. A second transcatheter ASD-OS closure was successfully performed. This case underscores the potential contribution of inherited thrombophilia to recurrent embolic events, the importance of long-term surveillance for device complications, and the value of multimodal imaging in guiding clinical decision making.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.70718

Authors: Nuria Pueyo‐Balsells, Ignacio Barriuso, Marta Zielonka, Carlos Izurieta, Kristian Rivera

Institutions: Hospital Universitari Arnau de Vilanova, Hospital Universitario San Agustín, Instituto de Investigación Biomédica de Lleida

Language: English

Topic: Cardiovascular and Diving-Related Complications

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820