title: Late tissue erosion after transcatheter closure of an atrial septal defect.
abstract: We present the case of a 27-year-old male presenting with sudden-onset retrosternal chest pain, dyspnea, and cardiac tamponade due to erosion of an Amplatzer Atrial Septal Occluder (ASO) through the left atrial wall 4 years after placement. Emergent surgical management of the hemopericardium, followed by surgical removal of the device, repair of the left atrial wall perforation, and patch closure of the atrial septal defect (ASD) were performed successfully. Tissue erosion leading to hemopericardium and cardiac tamponade should be suspected in subjects with a history of transcatheter ASD closure who present with acute chest pain or dyspnea and signs of hemodynamic instability © 2015 Wiley Periodicals, Inc.
authors.affiliation: University of Miami Miller School of Medicine & Jackson Memorial Hospital, Miami, Florida.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Mendirichaga
authors.affiliation: University of Miami Miller School of Medicine & Jackson Memorial Hospital, Miami, Florida.
authors.forename: Ramez A
authors.initials: RA
authors.lastname: Smairat
authors.affiliation: Jackson Medical Group Cardiology, Jackson Memorial Hospital, Miami, Florida.
authors.forename: Rhea
authors.initials: R
authors.lastname: Sancassani
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology; D002637:Chest Pain / Q000209:etiology; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography / Q000379:methods; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology; D011475:Prosthesis Failure; D055989:Septal Occluder Device; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome
keywords: Amplatzer atrial septal occluder; cardiac tamponade; complication; perforation