Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect

  • Kim, Ji Seong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Yeom, Sang Yoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Sue Hyun (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Choi, Jae Woong (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital) ;
  • Kim, Kyung Hwan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital)
  • Received : 2016.07.12
  • Accepted : 2016.08.30
  • Published : 2017.04.05
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Abstract

A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.

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References

  1. Warnes CA, Williams RG, Bashore TM, et al. ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (writing committee to develop guidelines for the management of adults with congenital heart disease). Circulation 2008;118:2395-451. https://doi.org/10.1161/CIRCULATIONAHA.108.190811
  2. Chessa M, Carminati M, Butera G, et al. Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. J Am Coll Cardiol 2002;39: 1061-5. https://doi.org/10.1016/S0735-1097(02)01711-4
  3. Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K; Amplatzer Investigators. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 2002;39:1836-44. https://doi.org/10.1016/S0735-1097(02)01862-4
  4. McElhinney DB, Quartermain MD, Kenny D, Alboliras E, Amin Z. Relative risk factors for cardiac erosion following transcatheter closure of atrial septal defects: a case-control study. Circulation 2016;133:1738-46. https://doi.org/10.1161/CIRCULATIONAHA.115.019987
  5. O’Byrne ML, Gillespie MJ, Kennedy KF, Dori Y, Rome JJ, Glatz AC. The influence of deficient retro-aortic rim on technical success and early adverse events following device closure of secundum atrial septal defects: an analysis of the IMPACT Registry. Catheter Cardiovasc Interv 2017; 89:102-111. https://doi.org/10.1002/ccd.26585
  6. Amin Z. Echocardiographic predictors of cardiac erosion after Amplatzer septal occluder placement. Catheter Cardiovasc Interv 2014;83:84-92. https://doi.org/10.1002/ccd.25175
  7. Kim YH, Kim H, Kim SJ, et al. Emergent surgical intervention for embolization of atrial septal defect closure device. Korean J Thorac Cardiovasc Surg 2012;45:320-2. https://doi.org/10.5090/kjtcs.2012.45.5.320

Cited by

  1. Clinical outcomes of a combined transcatheter and minimally invasive atrial septal defect repair program using a 'Heart Team' approach vol.13, pp.None, 2017, https://doi.org/10.1186/s13019-018-0701-1
  2. Anesthetic Management of a Parturient With Cardiac Tamponade due to Heart Perforation by an Atrial Septum Defect Repair Device : A Case Report vol.14, pp.4, 2020, https://doi.org/10.1213/xaa.0000000000001161