title: Very late erosion of Amplatzer septal occluder device presenting as pericardial pain and effusion 8 years after placement.
abstract: We report the case of a very late erosion of an Amplatzer septal occluder (ASO) device more than 8 years after implant, presenting without signs of cardiac tamponade. To date, this case represents the longest period between ASO device implantation and clinical presentation following erosion. The overall rate of device erosion remains low, and the majority reported so far has occurred early, but clinicians should remain alert to the possibility of very late erosion in patients with ASO devices.
authors.affiliation: University Hospitals Coventry and Warwickshire, Coventry, Warwickshire, United Kingdom.
authors.forename: Will T
authors.initials: WT
authors.lastname: Roberts
authors.forename: Jitendra
authors.initials: J
authors.lastname: Parmar
authors.forename: Thirumaran
authors.initials: T
authors.lastname: Rajathurai
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D006801:Humans; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010496:Pericardium / Q000637:transplantation; D011474:Prosthesis Design; D011475:Prosthesis Failure; D055989:Septal Occluder Device; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome