title: Migration of an amplatzer septal occluder device for closure of atrial septal defect into the ascending aorta with formation of an aorta-to-right atrial fistula.
abstract: The percutaneous closure of atrial septal defects is increasingly used. Serious complications of the procedure, such as cardiac perforation and tamponade, are rare and usually occur <72 hours after device placement. The investigators report the late development of the erosion of an Amplatzer septal occluder into the ascending aorta with associated aortic-to-right atrial fistula formation.
authors.affiliation: Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas, USA. paulgr@baylorhealth.edu
authors.forename: Paul A
authors.initials: PA
authors.lastname: Grayburn
authors.forename: Brian
authors.initials: B
authors.lastname: Schwartz
authors.forename: Azam
authors.initials: A
authors.lastname: Anwar
authors.forename: Robert F
authors.initials: RF
authors.lastname: Hebeler
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging; D006325:Heart Atria; D006344:Heart Septal Defects, Atrial / Q000628:therapy*; D006801:Humans; D012086:Reoperation; D016157:Vascular Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery