title: Severe Mechanical Hemolysis After Transcatheter Closure of a Traumatic Ventricular Septal Defect Using the Amplatzer Atrial Septal Occluder.
abstract: Traumatic ventricular septal defect (VSD) resulting from chest trauma, either penetrating or blunt, is a relatively rare occurrence. Herein, we describe the case of a previously healthy 26-year-old man who presented with congestive heart failure, which was secondary to a large traumatic VSD following violent blunt chest trauma. The traumatic VSD was initially closed percutaneously using an Amplatzer atrial septal defect occluder. Post-device closure, however, the patient developed severe intravascular hemolysis refractory to medical treatment. The patient subsequently underwent surgical removal of the Amplatzer device, with concomitant VSD patch closure.
authors.affiliation: Department of Cardiology, The Second Xiangya Hospital of Central South University.
authors.forename: Liang
authors.initials: L
authors.lastname: Tang
authors.forename: Jian-Jun
authors.initials: JJ
authors.lastname: Tang
authors.forename: Zhen-Fei
authors.initials: ZF
authors.lastname: Fang
authors.forename: Xin-Qun
authors.initials: XQ
authors.lastname: Hu
authors.forename: Xiang-Qian
authors.initials: XQ
authors.lastname: Shen
authors.forename: Sheng-Hua
authors.initials: SH
authors.lastname: Zhou
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000009:adverse effects; D006348:Cardiac Surgical Procedures / Q000379:methods; D020878:Device Removal; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006461:Hemolysis; D006801:Humans; D008297:Male; D055989:Septal Occluder Device / Q000009:adverse effects; D012720:Severity of Illness Index; D013898:Thoracic Injuries / Q000150:complications*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000209:etiology