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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Transthoracic Echocardiography | Case report

Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report

Authors: Zai-Qiang Zhang, Jia-Wang Ding

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it’s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.

Case presentation

We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.

Conclusions

With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.

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Title: Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report
Authors: Zai-Qiang Zhang
Jia-Wang Ding
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Transthoracic Echocardiography
Transesophageal Echocardiography
Atrial Septal Defect
Atrial Septal Defect
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01441-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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