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Use of Mullins sheath to prevent prolapse of Gore Cardioform ASD Occluder in a child with severe scoliosis

Published online by Cambridge University Press:  02 December 2020

Christopher Herron Open the ORCID record for Christopher Herron [Opens in a new window]  and
Daisuke Kobayashi
Christopher Herron
Affiliation:
Division of Cardiology, Children’s Hospital of Michigan, Detroit, MI, USA
Daisuke Kobayashi*
Affiliation:
Department of Pediatrics, Central Michigan University College of Medicine, Mount Pleasant, MI, USA
*
Author for correspondence: Daisuke Kobayashi, MD, MPH, Division of Cardiology, Children’s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI48201-2119, USA; Department of Pediatrics, Central Michigan University College of Medicine, Mount Pleasant, MI, USA. Tel: +1 (313) 745 5481; Fax: +1 (313) 993 0894. E-mail: dkobayas@dmc.org
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Abstract

Transcatheter device closure of an atrial septal defect (ASD) may require an additional supportive technique in challenging cases. We report a 15-year-old male with moderate-sized ASD and severe scoliosis. In spite of adequate positioning of the Gore Cardioform ASD occluder, the device was pulled into the right atrium by a retrieval cord due to the acute release of strong tension between the delivery catheter and its device upon locking. This phenomenon was prevented by the use of Mullins sheath, resulting in a successful release of the device. The use of a Mullins sheath may be considered to deliver a Gore Cardioform ASD device in selected cases.

Keywords

Key atrial septal defectGore Cardioform ASD OccluderMullins sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 3 , March 2021 , pp. 504 - 506
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

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