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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Late cardiac perforation following transcatheter atrial septal defect closure

Ourania Preventza1, Sridhar Sampath-Kumar, John Wasnick

  • 1Department of Cardiovascular and Thoracic Surgery, Albert Einstein College of Medicine, Monterfiore Medical Center, Bronx, NY 10467, USA.

The Annals of Thoracic Surgery
|April 6, 2004
PubMed

Insights

Transcatheter closure is an alternative for atrial septal defects (ASDs). A rare complication, cardiac perforation, occurred 6 months after Amplatzer Septal Occluder placement, leading to hemodynamic collapse.

Area of Science:

  • Cardiology
  • Medical Devices

Background:

  • Transcatheter closure of secundum atrial septal defect (ASD) is a common alternative to surgical repair.
  • The Amplatzer Septal Occluder is a frequently used device for this procedure.

Observation:

  • A patient experienced severe hemodynamic collapse 6 months post-implantation of an Amplatzer Septal Occluder.
  • Cardiac perforation was identified as the cause of the patient's collapse.

Findings:

  • This case highlights a delayed complication of transcatheter ASD closure.
  • Cardiac perforation is a potential, albeit rare, risk associated with Amplatzer Septal Occluder use.

Implications:

  • This case underscores the importance of long-term monitoring for patients undergoing transcatheter ASD closure.
  • Awareness of potential device-related complications like cardiac perforation is crucial for timely diagnosis and management.

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