An unusual thrombotic complication during percutaneous closure of atrial septal defect.
A case is described where intracardiac thrombus was observed at the junction of the superior vena cava and the right atrium during attempted closure of an atrial septal defect (ASD) using a device similar in design to the Amplatzer septal occluder (Heart R atrial septal occluder). Thrombosis was likely related to the multiple attempts required when deploying the device and the attendant prolonged procedural time. The patient underwent subsequent urgent surgical closure of the ASD.
Bijulal
Sasidharan
S
Department of Cardiology, SCTIMST, Trivandrum, Kerala, India 695 011. bijulalsasidharan@gmail.com
Sivasankaran
Sivasubramanian
S
Ajitkumar
V K
VK
D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D017131:Thrombectomy / Q000379:methods; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult