Percutaneous Closure of a "Doughnut Leak” Around an Occluder Device in a 10-Year-Old Girl


Video Supplement to “Percutaneous Closure of a “Doughnut Leak” Around an Atrial Septal Occluder Device in a Patient With Recurrent Migraines,” by Agasthi, et al. (September 2020 Clinical Images).

A 10-year-old girl with pulmonary atresia status post transannular patch repair and secundum atrial septal defect (ASD) underwent percutaneous ASD closure 5 years earlier. There was improvement in arterial saturation with minimal residual right-to-left shunt. Despite subsequent medical therapy, she developed recurrent migraines, which led us to pursue percutaneous closure of the shunt. This angiographic series details her treatment with an Amplatzer Duct Occluder II device.

Read the accompanying article here