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A 15-year-old girl was diagnosed as having secundum atrial septal defect (ASD) at infancy. Transcatheter closure of the ASD was performed at 4 years of age, using a StarFlex 33 mm device (NMT Medical, Boston, Massachusetts). One week following implantation, a small residual shunt was noted. Within the first year following the procedure, a protrusion …
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