Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect.
10.5090/kjtcs.2017.50.2.110
- Author:
Ji Seong KIM
1
;
Sang Yoon YEOM
;
Sue Hyun KIM
;
Jae Woong CHOI
;
Kyung Hwan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. kkh726@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Atrial septal defects;
Atrium;
Septal occluder device;
Cardiac tamponade;
Heart atria
- MeSH:
Adult;
Back Pain;
Cardiac Tamponade;
Device Removal;
Heart Arrest;
Heart Atria;
Heart Septal Defects, Atrial*;
Humans;
Resuscitation;
Septal Occluder Device;
Shock, Cardiogenic;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(2):110-113
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.
