title: Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade.
abstract: Transcatheter device closure of atrial septal defects (ASDs) is a minimally invasive technique that offers an alternative to conventional surgical repair. There are risks imposed by this technique; however, they compare favourably with risks of surgical closure. Here, we present a case of a 59-year old male with late erosion of an Amplatzer septal occluder device resulting in cardiac tamponade 5 years after device placement. To the best of our knowledge, cardiac tamponade this late after device placement has not yet been reported. Septal occlusion device erosion remains a major issue among the risks imposed by device closure of an ASD. More data are needed to better understand its true causes and possible solutions.
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, USA Vakhtang_Tchantchaleishvili@URMC.Rochester.edu.
authors.forename: Vakhtang
authors.initials: V
authors.lastname: Tchantchaleishvili
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, USA.
authors.forename: Amber L
authors.initials: AL
authors.lastname: Melvin
authors.affiliation: Division of Cardiology, University of Rochester Medical Center, Rochester, USA.
authors.forename: Frederick S
authors.initials: FS
authors.lastname: Ling
authors.affiliation: Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, USA.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Knight
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012307:Risk Factors; D055989:Septal Occluder Device / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Atrial septal defects; Cardiac catheterization; Cardiac tamponade