Late tamponade secondary to aortic root perforation by BioSTAR septal closure device.
We report a patient who presented with pericardial tamponade 9 months after percutaneous closure of a patent foramen ovale using a BioSTAR septal closure device (NMT Medical, Boston, MA). During the operation, bleeding was observed on the posterior aortic root caused by a nonendothelialized strut. The device was explanted, followed by pericardial patch aortoplasty and patch closure of the patent foramen ovale. This report presents a case of late tamponade related to the new-generation bioabsorbable BioSTAR device. Although late complications related with BioSTAR are rare, the presentation may be dramatic. A high index of suspicion and quick intervention is often lifesaving.
Division of Cardiovascular Surgery, University Hospitals and Medical Faculty of Geneva, Geneva, Switzerland. mustafa.cikirikcioglu@hcuge.ch
Mustafa
M
Cikirikcioglu
Sanjay
S
Cherian
Rene
R
Lerch
Marc-Joseph
MJ
Licker
Marco
M
Roffi
Robert F
RF
Bonvini
Afksendiyos
A
Kalangos
D020341:Absorbable Implants / Q000009:adverse effects*; D001011:Aorta / Q000293:injuries*; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology*; D002637:Chest Pain / Q000209:etiology; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D054092:Foramen Ovale, Patent / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants / Q000009:adverse effects*; D012770:Shock, Cardiogenic / Q000209:etiology; D058106:Wound Closure Techniques / Q000009:adverse effects; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*