De novo thrombus on an atrial septal defect device 3 years after its implantation.
The secundum atrial septal defect (ASD) is noted to occur in 1 per 1,500 live births and is the fourth most common congenital heart defect (CHD) [Anzai et al. in Am J Cardiol 93:426-431, 2004]. Early complications with percutaneous closure of secundum ASDs include device malposition and embolization, arrhythmias (primarily atrial fibrillation), pericardial effusion, residual shunt, and thrombus development on the left atrial disk [Chessa et al. in J Am Coll Cardiol 39:1061-1065, 2002, Co-Burn and William in Moss and Adams' Heart disease in infants, children and adolescents including fetus and young adults. Williams and Wilkins, Baltimore, 1995]. We present a patient with a very late complication of device thrombus after percutaneous secundum ASD device closure.
The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, 6221 Fannin St MC-19345-C, Houston, TX 77030, USA. olabiyi@bcm.edu
Olawale O
OO
Olabiyi
David L S
DL
Morales
Wayne J
WJ
Franklin
D000293:Adolescent; D004452:Echocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D055989:Septal Occluder Device; D013927:Thrombosis / Q000175:diagnosis* / Q000601:surgery*