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Updated: Nov 26, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Chronic chest pain after percutaneous atrial septal defect closure
Marc Figueras-Coll1,2, Gerard Martí-Aguasca1, Pedro Betrián-Blasco1
1Pediatric and Adult Congenital Interventional Cardiology Department, University Autònoma of Barcelona, Vall d'Hebron Hospital, Barcelona, Spain.
Insights
Chest pain after percutaneous atrial septal defect closure is rare but can occur. This case study details a 14-year-old female experiencing prolonged chest pain following the procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Percutaneous closure of atrial septal defects (ASDs) is a standard, minimally invasive treatment.
- While generally safe, potential complications like chest pain require further investigation.
- The precise causes of chest pain post-ASD closure are not well understood.
Observation:
- A 14-year-old female patient presented with unusual and persistent chest pain.
- The chest pain began after undergoing percutaneous closure of an atrial septal defect.
- The symptoms were atypical and had lasted for an extended period.
Findings:
- This case highlights a rare complication of percutaneous ASD closure.
- The patient's prolonged chest pain suggests a need for further etiological studies.
- Atypical presentations of post-procedural pain can occur in pediatric patients.
Implications:
- Understanding the causes of chest pain after ASD closure is crucial for patient management.
- Further research is needed to elucidate the mechanisms behind this complication.
- This case underscores the importance of considering rare complications in pediatric cardiology.
Abstract:
Percutaneous closure of atrial septal defect is recognised as a safe and effective procedure, however, in some patients complications may occur. Although chest pain has been sporadically reported, its exact aetiology has been poorly studied. Herein, a 14-year-old female with an atypical and long-lasting chest pain after percutaneous atrial septal defect closure is described.
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