• Ana Milena Mejía Sanjuanelo
  Internal Medicine Department, Hospital Universidad del Norte, Barranquilla, Colombia
• Maria Carolina Manzur Barbur
  Internal Medicine Department, Centro Hospitalario Serena del Mar, Cartagena, Colombia https://orcid.org/0000-0002-6900-4427
• Maria Cristina Martinez-Ávila
  Internal Medicine Department, Centro Hospitalario Serena del Mar, Cartagena, Colombia https://orcid.org/0000-0002-1542-0249
• Juan Camilo García Dominguez
  Cardiology Division, Centro Hospitalario Serena del Mar, Cartagena, Colombia https://orcid.org/0000-0002-4015-7243

Keywords

Late endocarditis, Amplatzer, atrial septal defect, transoesophageal echocardiography

Abstract

The Amplatzer septal occluder is one of several percutaneous devices used for the closure of secundum atrial septal defects. The main complications are related to the procedure, with infection being the least common. We present the case of a 67-year-old woman with a secundum atrial septal defect, who, 3 years after repair with an Amplatzer occluder, was admitted with sepsis and bacteraemia following recent hospitalization in an intensive care unit. Transoesophageal echocardiography showed the presence of a mobile echogenic structure in the left atrium suggestive of a vegetation. Few cases of late endocarditis involving the Amplatzer device have been reported, even though partial endothelization is one of the risk factors. There are no guidelines for the prevention, diagnosis or management of this complication.

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Published: 2022-03-15
Issue: 2022: Vol 9 No 3 (view)