“…In the literature, most patients with a history of heart transplantation were treated by surgery (8,12,13). However, in highrisk patients, some authors have proposed new alternatives such as using Atrial Septal Defect occluder, vascular plugs, stents, coil embolization, and thrombin injection with favorable outcomes (3)(4)(5). Endovascular management is less aggressive and associated with less blood loss and shorter procedural durations (3,4).…”