DOI: 10.12890/2020_002202

Late Erosion of Percutaneous ASD Occlusion Device

Authors

  • Ronan William Cusack Department of Cardiology, Beaumont Hospital, Dublin, Ireland
  • Gearoid Fitzgerald Department of Cardiology, Beaumont Hospital, Dublin, Ireland
  • Mark Kennedy Department of Cardiology, Beaumont Hospital, Dublin, Ireland

ronan.cusack@hotmail.com

Keywords

Cardiac tamponade, late erosion, atrial septal defect, percutaneous ASD occlusion, structural heart disease

Abstract

Percutaneous closure of atrial septal defects (ASDs) is an ever more common treatment modality in selected patients. Device erosion is a rare but often fatal complication of this therapy, which usually presents early in the post-procedure course. We describe the case of a patient presenting with chest pain and shock in whom early recognition and intervention prevented a negative outcome. Awareness of this potentially lethal complication is important as the population of patients undergoing percutaneous procedures for structural heart disease continues to grow.

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References

  1. Thomson JD, Qureshi SA. Device closure of secundum atrial septal defect's and the risk of cardiac erosion. Echo Res Pract 2015;2(4):R73–R78.
  2. McElhinney DB, Quartermain MD, Kenny D, Alboliras E, Amin Z. Relative risk factors for cardiac erosion following transcatheter closure of atrial septal defects: a case-control study. Circulation 2016;133(18):1738–1746.
  3. Abaci A, Unlu S, Alsancak Y, Kaya U, Sezenoz B. Short and long term complications of device closure of atrial septal defect and patent foramen ovale: meta-analysis of 28,142 patients from 203 studies. Catheter Cardiovasc Interv 2013;82(7):1123–1138.

Published

2020-12-24

Issue

Vol. 7 No. 12 (2020)

How to Cite

1.
Cusack RW, Fitzgerald G, Kennedy M. Late Erosion of Percutaneous ASD Occlusion Device. EJCRIM [Internet]. 2020 Dec. 24 [cited 2026 Nov. 3];7(12). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2202