DOI: 10.12890/2022_003238

Late Infective Endocarditis Associated with an Atrial Septal Defect Occluder Device

Authors

  • 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
  • Maria Cristina Martinez-Ávila Internal Medicine Department, Centro Hospitalario Serena del Mar, Cartagena, Colombia
  • Juan Camilo García Dominguez Cardiology Division, Centro Hospitalario Serena del Mar, Cartagena, Colombia

cristina.martinezavila@gmail.com

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

Vol. 9 No. 3 (2022)

How to Cite

1.
Mejía Sanjuanelo AM, Maria Carolina Manzur Barbur, Maria Cristina Martinez-Ávila, Juan Camilo García Dominguez. Late Infective Endocarditis Associated with an Atrial Septal Defect Occluder Device. EJCRIM [Internet]. 2022 Mar. 15 [cited 2026 Nov. 3];9(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3238