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Three-dimensional echocardiographic demonstration of aortic wall erosion after percutaneous atrial septal defect

Ahmed Mohsen Mohamed1, Irem Türkmen2, Mostafa Mahmoud Mohamed Abdrabou1

  • 1Department of Cardiovascular Medicine, Kasr Al Ainy Hospital, Cairo University, Cairo, Egypt.

Journal of Clinical Ultrasound : JCU
|February 8, 2019
PubMed

Insights

Late cardiac erosion after atrial septal defect (ASD) closure is rare but lethal. Three-dimensional transesophageal echocardiography (3D TEE) effectively visualized cardiac erosion, a rare complication following percutaneous ASD closure.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Late complications of percutaneous atrial septal defect (ASD) closure, though rare, are highly lethal.
  • Cardiac erosion and thrombosis are the most severe late complications.
  • Limited data exist on novel imaging modalities for detecting these complications.

Observation:

  • A 57-year-old woman presented with a suspected complication after percutaneous ASD closure.
  • Cardiac erosion was identified as a potential late complication.

Findings:

  • Three-dimensional transesophageal echocardiography (3D TEE) provided excellent visualization of cardiac erosion.
  • This case highlights the utility of 3D TEE in diagnosing rare post-procedural complications.

Implications:

  • 3D TEE may be a valuable imaging modality for early detection of cardiac erosion after ASD closure.
  • Improved detection can lead to timely intervention and better patient outcomes.
  • Further research is warranted to establish the role of 3D TEE in managing ASD closure complications.

Keywords:
AMPLATZER Septal Occludercardiac erosionsecundum atrial septal defectthree-dimensional echocardiography

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