Late Cardiac Rupture after Amplatzer Septal Occluder Implantation

Transcatheter device implantation has become an attractive alternative to surgery in the closure of atrial septal defects in selected patients. However, it can lead to early and late sequelae, some of them life threatening. For example, 79 days before her admission to our emergency department with s...

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Bibliographic Details
Published in:Texas Heart Institute journal 2016-12, Vol.43 (6), p.541-542
Main Authors: Arnaz, Ahmet, Turkekul, Yasemin, Yalcinbas, Yusuf, Saygili, Arda, Sarioglu, Tayyar
Format: Article
Language:English
Subjects:
Cardiac Catheterization - adverse effects
Cardiac Catheterization - instrumentation
Cardiac Tamponade - etiology
Case Reports
Device Removal
Female
Heart Injuries - diagnosis
Heart Injuries - etiology
Heart Injuries - surgery
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Atrial - therapy
Humans
Prosthesis Design
Septal Occluder Device - adverse effects
Time Factors
Treatment Outcome
Young Adult
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Summary:Transcatheter device implantation has become an attractive alternative to surgery in the closure of atrial septal defects in selected patients. However, it can lead to early and late sequelae, some of them life threatening. For example, 79 days before her admission to our emergency department with sudden-onset respiratory distress and respiratory arrest (leading to cardiac tamponade and rupture), a 22-year-old woman had undergone percutaneous closure of an atrial septal defect. We describe the damage and its treatment. Although the adverse effects of transcatheter device implantation are rare, physicians should know that these events can be life threatening. Further data are needed to prevent such sequelae and to design new devices. It is of utmost importance that patients and their family members be informed both of possible sequelae and of life-saving interventions to be administered at early diagnosis.
ISSN:0730-2347
1526-6702
DOI:10.14503/THIJ-15-5635