title: Early cardiac perforation after atrial septal defect closure with the Amplatzer septal occluder.
abstract: We report a case of aortic perforation after transcatheter closure of an atrial septal defect by an Amplatzer septal occluder. During emergency surgery, perforations of the dome of the right atrium and the noncoronary sinus of Valsalva of the aorta were repaired. Atrial septal defect was primarily closed. A short anterosuperior rim should be considered a risk factor for aortic perforation in transcatheter atrial septal defect closure.
authors.affiliation: Department of Pediatric Cardiac Surgery, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany. h.sauer@uke.uni-hamburg.de
authors.forename: Hans-Henning
authors.initials: HH
authors.lastname: Sauer
authors.forename: Kalliopi
authors.initials: K
authors.lastname: Ntalakoura
authors.forename: Christoph
authors.initials: C
authors.lastname: Haun
authors.forename: Trong-Phi
authors.initials: TP
authors.lastname: Le
authors.forename: Viktor
authors.initials: V
authors.lastname: Hraska
mesh_terms: D001011:Aorta / Q000293:injuries*; D006328:Cardiac Catheterization; D002305:Cardiac Tamponade / Q000209:etiology; D002675:Child, Preschool; D004630:Emergencies; D004867:Equipment Design; D005260:Female; D006325:Heart Atria / Q000293:injuries* / Q000601:surgery; D006335:Heart Injuries / Q000209:etiology* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D010490:Pericardial Effusion / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D019736:Prostheses and Implants / Q000009:adverse effects*; D019919:Prosthesis Implantation; D012769:Shock / Q000209:etiology