{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:58Z","timestamp":1753876258287,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T00:00:00Z","timestamp":1663200000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Severe residual shunts after percutaneous closure of atrial septal defects are unusual. These patients are usually considered candidates for surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We describe the transjugular closure of a residual atrial septal defect with significant left-to-right shunt due to a malpositioned large atrial septal device in a symptomatic 74-year-old female. Transjugular access was chosen first due to the unfavourable position of the device for delivery of a new one from the femoral approach. An overlapping Figulla\u00ae Flex II 27\/30\u2005mm PFO device was successfully implanted with the guidance of 3D-transoesophageal echocardiography.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case demonstrates the safety and feasibility of transjugular access as an alternative to femoral or transhepatic approaches in patients with difficult atrial septal anatomies, who are usually referred for surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac377","type":"journal-article","created":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T04:45:49Z","timestamp":1663217149000},"source":"Crossref","is-referenced-by-count":0,"title":["Transjugular closure of a residual septal device defect: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3831-151X","authenticated-orcid":false,"given":"Felipe Hernandez","family":"Hernandez","sequence":"first","affiliation":[{"name":"Interventional Cardiology, Clinica Universidad de Navarra , C\/Marquesado de Santa Marta 1, 28027 Madrid , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose A","family":"Linares Vicente","sequence":"additional","affiliation":[{"name":"Interventional Cardiology, Hospital Clinico Lozano Blesa , Zaragoza , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Iba\u00f1ez","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Radiology Department, Hospital Clinico Lozano Blesa , Zaragoza , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose R","family":"Ruiz Arroyo","sequence":"additional","affiliation":[{"name":"Interventional Cardiology, Hospital Clinico Lozano Blesa , Zaragoza , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,15]]},"reference":[{"key":"2022092609280366100_ytac377-B1","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/jocs.12930","article-title":"Transjugular closure of secundum atrial septal defects","volume":"32","author":"Dong","year":"2017","journal-title":"J Card Surg"},{"key":"2022092609280366100_ytac377-B2","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC guidelines for the management of adult congenital heart disease: the task force for the management of adult congenital heart disease of the European society of cardiology (ESC)","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"key":"2022092609280366100_ytac377-B3","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCIMAGING.118.008409","article-title":"Percutaneous closure of a large iatrogenic atrial septal laceration","volume":"11","author":"Jim\u00e9nez-M\u00e9ndez","year":"2018","journal-title":"Circ Cardiovasc Imaging"},{"key":"2022092609280366100_ytac377-B4","doi-asserted-by":"crossref","first-page":"475.e1","DOI":"10.1016\/j.repc.2016.09.020","article-title":"Successful percutaneous closure of a residual atrial septal defect due to device failure","volume":"36","author":"Rosa","year":"2017","journal-title":"Rev Port Cardiologia"},{"key":"2022092609280366100_ytac377-B5","first-page":"E78","article-title":"Percutaneous transjugular device closure of postoperative residual atrial septal defect","volume":"25","author":"Mahesh Kumar","year":"2013","journal-title":"J Invasive Cardiol"},{"key":"2022092609280366100_ytac377-B6","doi-asserted-by":"crossref","first-page":"E64","DOI":"10.1111\/j.1540-8175.2010.01307.x","article-title":"Three-dimensional echocardiography-guided repair of residual shunt after percutaneous atrial septal defect closure","volume":"28","author":"L\u00f3pez","year":"2011","journal-title":"Echocardiography"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac377\/45852268\/ytac377.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/9\/ytac377\/46043889\/ytac377.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/9\/ytac377\/46043889\/ytac377.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T09:29:27Z","timestamp":1664184567000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac377\/6698742"}},"subtitle":[],"editor":[{"given":"Filippo","family":"Puricelli","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Stathogiannis","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Arif Anis","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Spinthakis","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Fabienne","family":"Vervaat","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,9,1]]},"references-count":6,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9,5]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac377","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2022,9,1]]},"published":{"date-parts":[[2022,9,1]]},"article-number":"ytac377"}}