Inflammatory, abscess-forming foreign body reaction mimics a thrombus formation on an atrial septal defect closure device: A commented case report

We are presenting a case of floating left and right atrial formations on an atrial septal defect occluder system (23mm StarFLEX)-Occluder) initially supposed to be thrombotic appositions in a 57-year-old man. The closure was performed on the background of left hemispheric stroke and atrial septal an...

Full description

Saved in:
Bibliographic Details
Published in:European journal of echocardiography 2007-08, Vol.8 (4), p.298-302
Main Authors: Divchev, Dimitar, Podewski, Edith Katharina, Mengel, Michael, Meyer, Gerd Peter, Drexler, Helmut, Schaefer, Arnd
Format: Article
Language:English
Subjects:
Abscess - diagnostic imaging
Abscess - etiology
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Surgical Procedures
Foreign Bodies - diagnostic imaging
Foreign Bodies - etiology
Heart Aneurysm - physiopathology
Heart Septal Defects, Atrial - therapy
Humans
Inflammation - diagnostic imaging
Inflammation - etiology
Male
Middle Aged
Stroke - physiopathology
Thrombosis - diagnostic imaging
Thrombosis - etiology
Ultrasonography
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We are presenting a case of floating left and right atrial formations on an atrial septal defect occluder system (23mm StarFLEX)-Occluder) initially supposed to be thrombotic appositions in a 57-year-old man. The closure was performed on the background of left hemispheric stroke and atrial septal aneurysm (ASA) with patent foramen ovale (PFO). The suspect structures were detected in the 6-month follow-up by transesophageal echocardiography (TEE). The patient underwent a successful surgical explantation of the closure device and closure of the patent foramen ovale (PFO) using a pericardial patch. The pathological evaluation of the biatrial device associated appositions revealed hytrophic heart muscle tissue with perifocal scarring and purulent abscess-forming, granulating and foam-cell including inflammatory foreign body reaction instead of the expected thrombus formation.
ISSN:1525-2167
DOI:10.1016/j.euje.2006.03.015