title: Late cardiac perforation after transcatheter closure of patent foramen ovale mimicking acute type a aortic dissection.
abstract: We report a rare case of late cardiac perforation after percutaneous closure of patent foramen ovale with the Cardia Star device (Cardia, Gent, Belgium), which presented as acute pericardial tamponade and was initially misdiagnosed as acute type A aortic dissection. The clinical course was dramatic in our patient and might have resulted in sudden death without prompt surgical treatment. The clinicians involved in treating a patient with acute, unexplained cardiac tamponade should be aware of late cardiac perforation occurring after percutaneous patent foramen ovale closure.
authors.affiliation: Department of Cardiac Surgery, Heart Center, Zentralklinik Bad Berka, Leipzig, Germany. evagird@centras.lt
authors.forename: Evaldas
authors.initials: E
authors.lastname: Girdauskas
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Diab
authors.forename: Maria-Anna
authors.initials: MA
authors.lastname: Secknus
authors.forename: Michael A
authors.initials: MA
authors.lastname: Borger
authors.forename: Thomas
authors.initials: T
authors.lastname: Kuntze
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000209:etiology; D021721:Balloon Occlusion / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006328:Cardiac Catheterization / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000379:methods; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016638:Critical Illness; D020878:Device Removal; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004638:Emergency Treatment; D005260:Female; D054092:Foramen Ovale, Patent / Q000175:diagnosis / Q000628:therapy*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome