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Updated: Jul 17, 2026
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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
Published on: December 23, 2022
Port-a-Cath perforation of the right atrium closed with an amplatzer ASD occluder
Sunil Wani1, Florian Dick, Bernhard Meier
1Cardiology, University Hospital, Bern, Switzerland.
Insights
Right atrial perforation from an indwelling catheter is a rare but life-threatening complication. This case demonstrates successful treatment using a percutaneous closure device, offering a minimally invasive solution.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Right atrial perforation is a critical complication that can lead to cardiac tamponade and mortality.
- Closure devices are established medical technologies for sealing intracardiac defects, such as shunts.
Observation:
- An indwelling catheter inadvertently caused a perforation of the right atrium.
- The patient presented with complications arising from the atrial perforation.
Findings:
- The right atrial perforation was successfully treated using a percutaneous closure device.
- This minimally invasive approach effectively sealed the perforation, preventing further complications.
Implications:
- Percutaneous closure devices represent a viable and effective treatment option for iatrogenic right atrial perforations.
- This case highlights the potential of interventional cardiology techniques in managing complex cardiac injuries.
Abstract:
Right atrial perforation can lead to tamponade and death. Closure devices are used for sealing of shunts in the heart. We describe an indwelling catheter that caused perforation of the right atrium and was treated with a percutaneous closure device.
