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. 2020 Jun 25;4(4):1–5. doi: 10.1093/ehjcr/ytaa141
Time Events
April 2018 Cryptogenic stroke.
April 2018 Transthoracic echocardiography: patent foramen oval (PFO) with a large shunt (>30 bubbles).
Transoesophageal echocardiography confirmed the diagnosis of PFO.
31 October 2018, time 0 PFO percutaneous closure
  • 35-mm Amplatzer PFO Occluder®.

31 October 2018, +15 min Positioning of the right disc of the device:
  • Complete atrioventricular block (AVB), ventricular escape rhythm at 35 b.p.m. alternating with a second-degree AVB

31 October 2018, +20 min The right and left discs of Amplatzer PFO Occluder® were consecutively collected in a sheath: normalization of AV conduction.
31 October 2018, +25 min Decision to implant a smaller Amplatzer PFO Occluder® 30 mm:
Good positioning, no recurrence of AVB.
31 October 2018, +45 min Transfer to the cardiac intensive care unit.
2 November 2018 Electrophysiological study
  • Normal AV nodal, intra-Hisian, and infra-Hisian conduction.

  • Location of the device in the proximity of the AV node.

5 November 2018 Discharged from hospital.
March 2019 Follow-up: asymptomatic patient.