{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:32:34Z","timestamp":1762867954212,"version":"3.40.5"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T00:00:00Z","timestamp":1572998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81770506"],"award-info":[{"award-number":["81770506"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coronary sinus perforation is a life\u2010threatening complication of transseptal puncture and needs to be repaired immediately. In this study, we report a case of a 74\u2010year\u2010old female patient with nonvalvular atrial fibrillation, who is a poor long\u2010term anticoagulation candidate. During the manipulation of transseptal puncture, a perforation of the free right atrial wall at the coronary sinus ostium occurred, which was caused by the Brockenbrough needle and followed by the immediate advancement of an 8.5\u2010French transseptal sheath. In consideration of the danger of cardiac tamponade after sheath removal, we decided to leave the 8.5\u2010French sheath in the pericardial cavity. Then, we advanced a 6\u2009mm ventricular septal occluder through the sheath. Finally, we achieved successful deployment of the device and closure of the perforation under the guidance of fluoroscopy and transthoracic echocardiography. Subsequently, the left atrial appendage orifice was occluded with a 21\u2009mm Watchman device. This case illustrates that percutaneous device closure is feasible for inadvertent perforation of the free right atrial wall at the coronary sinus during transseptal puncture and should be considered as an alternative to surgery.<\/jats:p>","DOI":"10.1002\/ccd.28589","type":"journal-article","created":{"date-parts":[[2019,11,7]],"date-time":"2019-11-07T07:30:37Z","timestamp":1573111837000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Percutaneous occlusion of transseptal puncture\u2010related free wall perforation at the coronary sinus with a ventricular septal occluder during left atrial appendage closure: A case report"],"prefix":"10.1002","volume":"96","author":[{"given":"Yuan","family":"Bai","sequence":"first","affiliation":[{"name":"Department of Cardiology ChangHai Hospital, Second Military Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sha","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology ChangHai Hospital, Second Military Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong\u2010wen","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Cardiology ChangHai Hospital, Second Military Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7242-6631","authenticated-orcid":false,"given":"Xian\u2010xian","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiology ChangHai Hospital, Second Military Medical University  Shanghai 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