It was reported the physician selected a 30mm gore® cardioform septal occluder to treat an atrial septal defect balloon sized to 13mm with a deficient aortic rim.The device was placed and locked.While assessing the device with echocardiography, it was determined the occluder was too big for the patient's anatomy as it was too close to the mitral valve.The physician attempted to remove the device with the retrieval cord; however, the cord had detached from the device and pulled through.The physician opted to leave the device in place and the patient was scheduled for device removal and surgical closure the following day.The patient was doing well following surgery.
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