Percutaneous device closure of atrial septal defect (ASD) has emerged as an alternative to traditional surgical closure. Percutaneous device closure has advantages including less surgical morbidity, avoidance of a scar and reduced hospitalization duration compared with surgical closure and high success rate. However, some complications after procedure require immediate surgery. We report a rare complication of migration of ASD occluder into the left ventricle due to coughing.