title: Subacute endocarditis of an atrial septal closure device in a patient with a patent foramen ovale.
abstract: The role of transcatheter closure of a patent foramen ovale for cryptogenic stroke remains controversial. The most common complications include atrial arrhythmia and bleeding. Infectious complications are exceedingly rare. We describe a 37-year-old man with a history of transient ischemic attacks and a patent foramen ovale who underwent transcatheter closure, complicated by subacute endocarditis of the completely endothelialized device 2 years after placement.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: Seth B
authors.initials: SB
authors.lastname: Krantz
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri. Electronic address: lawtonj@wustl.edu.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Lawton
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005500:Follow-Up Studies; D054092:Foramen Ovale, Patent / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D016459:Prosthesis-Related Infections / Q000150:complications* / Q000175:diagnosis; D055989:Septal Occluder Device / Q000009:adverse effects* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents