title: Incomplete endothelialisation of an Amplatzer Septal Occluder device followed by meningitis and late acute bacterial endocarditis.
abstract: A 19-year-old woman with atrial septal defect treated percutaneously with an Amplatzer Septal Occluder 24 months earlier, who presented with a history of bacterial meningitis, was admitted with a diagnosis of endocarditis. After 6 weeks of treatment with antibiotics, the incompletely endothelialised occluder was surgically removed. The present report illustrates the need for long-term follow-up of patients who have received nitinol wire mesh occluders.
authors.affiliation: 1Department of Congenital Heart Diseases and Pediatric Cardiology,Silesian Center for Heart Diseases,Medical University of Silesia,Zabrze,Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Białkowski
authors.affiliation: 2Department of Transplantology and Cardiac Surgery,Silesian Center for Heart Diseases,Medical University of Silesia,Zabrze,Poland.
authors.forename: Szymon
authors.initials: S
authors.lastname: Pawlak
authors.affiliation: 1Department of Congenital Heart Diseases and Pediatric Cardiology,Silesian Center for Heart Diseases,Medical University of Silesia,Zabrze,Poland.
authors.forename: Paweł
authors.initials: P
authors.lastname: Banaszak
mesh_terms: D000208:Acute Disease; D004697:Endocarditis, Bacterial / Q000209:etiology*; D004727:Endothelium; D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D055989:Septal Occluder Device / Q000009:adverse effects*; D013203:Staphylococcal Infections / Q000209:etiology*; D013997:Time Factors; D055815:Young Adult
keywords: Amplatzer Septal Occluder; bacterial endocarditis; incomplete endothelialisation