A case of cardiac tamponade occurred 1 day after transcatheter atrial septal defect closure

Qian Song1,2, Yafeng He1,2, Juan Xia1,2

  • 1Department of Ultrasound, Wuhan Asia Heart Hospital Affiliated to Wuhan University of Science and Technology, Wuhan Clinical Medical Research Center of Cardiovascular Imaging, Wuhan, China.

Insights

Transesophageal echocardiography revealed a pericardial effusion and a gap near an atrial septal defect occluder. This finding highlights potential complications following device closure of atrial septal defects.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Atrial septal defects (ASDs) are commonly closed using device occluders.
  • Transesophageal echocardiography (TEE) is a key imaging modality for assessing cardiac structures and interventions.

Observation:

  • A patient undergoing TEE presented with findings suggestive of complications post-ASD device closure.

Findings:

  • TEE identified a pericardial effusion, indicating fluid accumulation around the heart.
  • A notable gap was observed between the left atrium and the aortic sinus, adjacent to the implanted ASD occluder device.

Implications:

  • This case underscores the importance of vigilant TEE monitoring for detecting potential complications after ASD device closure.
  • The findings suggest a need to evaluate the integrity and positioning of ASD occluders to prevent adverse events like effusions.

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