{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:52:17Z","timestamp":1776185537903,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T00:00:00Z","timestamp":1445472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:p>Complications of transseptal puncture are significant and potentially life threatening. Aortic perforation is one of these complications and it needs to be repaired immediately. We report the case of a 48\u2010year\u2010old female with a history of rheumatic mitral valve disease. She underwent three previous mitral valve replacements. Her last echocardiogram reported an anterolateral leak in the mitral prosthesis. Catheterization was performed. During the procedure, when attempting to perform transseptal puncture, catheterization was complicated by a forcefully puncture of the aortic root by the Brockenbrough needle followed by an immediately advancement of an 8\u2010Fr Mullins sheath. We decided to leave the 8\u2010Fr sheath in the aortic root recognizing the danger of removing the sheath and finally we advanced a 6\/4 mm Amplatzer ductal occluder (ADO I) through the Mullins sheath and under fluoroscopy and TEE guidance we achieved a successful deployment of the device and closure of the perforation. Subsequently, the paravalvular leak was closed with an Amplatzer Vascular Plug (AVP III 10\/5 mm). There are only three cases of a similar technique for the same injury in which the authors describe successful closing of aortic perforation with percutaneous closure devices. Our case is the first described during a mitral paravalvular leak closure. It is also the first to describe a different technique of leaving the Mullins sheath in the aortic root and advancing the Amplatzer device through it to achieve successful closure of the aortic perforation. We preferred the percutaneous closure over open\u2010heart repair. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.26254","type":"journal-article","created":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T09:57:51Z","timestamp":1445507871000},"page":"312-315","source":"Crossref","is-referenced-by-count":9,"title":["Aortic iatrogenic perforation during transseptal puncture and successful occlusion with <scp>A<\/scp>mplatzer ductal occluder in a case of mitral paravalvular leak closure"],"prefix":"10.1002","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0817-3139","authenticated-orcid":false,"given":"Roberto","family":"Mijangos\u2010V\u00e1zquez","sequence":"first","affiliation":[{"name":"Pediatric Interventional Cardiology Department, National Institute of Cardiology \u201cIgnacio Ch\u00e1vez\u201d Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Antonio","family":"Garc\u00eda\u2010Montes","sequence":"additional","affiliation":[{"name":"Pediatric Interventional Cardiology Department, National Institute of Cardiology \u201cIgnacio Ch\u00e1vez\u201d Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Zabal\u2010Cerdeira","sequence":"additional","affiliation":[{"name":"Pediatric Interventional Cardiology Department, National Institute of Cardiology \u201cIgnacio Ch\u00e1vez\u201d Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10,22]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"85","article-title":"Earley. How to perform a transseptal puncture","volume":"95","author":"Mark J","year":"2009","journal-title":"Heart"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.22.5.927"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.25.1.15"},{"key":"e_1_2_5_5_1","first-page":"239","article-title":"Transseptal left heart catheterization: Experience with a new technique in 520 pediatric and adult patients","volume":"4","author":"Mullins CE.","year":"1983","journal-title":"PediatrCardiol"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(91)90292-P"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-7317(00)90039-7"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2006.088559"},{"key":"e_1_2_5_9_1","first-page":"1037","article-title":"Transseptal catheterization in the electrophysiology laboratory: Data from a multicenter survey spanning 12 years","volume":"47","author":"Ponti R","year":"2006","journal-title":"J Am CollCardiol"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.12.016"},{"key":"e_1_2_5_11_1","first-page":"490","article-title":"Transcatheter repair of iatrogenic aortic perforation complicating transseptal puncture for a catheter ablation of atrial arrhythmia","volume":"30","author":"Yu H\u2010P","year":"2014","journal-title":"Acta Cardiol Sin"},{"key":"e_1_2_5_12_1","first-page":"E110","article-title":"Percutaneous repair of aortic puncture with amplatzer closure device during attempted transseptal puncture","volume":"25","author":"Webber MR","year":"2013","journal-title":"J Invasive Cardiol"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26254","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26254","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T11:58:14Z","timestamp":1695729494000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,22]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1002\/ccd.26254"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26254","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,22]]}}}