title: Late-term development of an atrial defect and thrombus formation after device fracture following successful transcatheter closure of an atrial septal defect with a STARFlex device.
abstract: Development of a new defect following transcatheter closure of an atrial septal defect has yet to be reported. In this study, we present an acutely successful atrial septal defect closure with a STARFlex device, resulting in surgical explantation after discovery of device fracture, thrombus formation, and a second atrial defect 5 years after catheterisation. This case highlights the need for ongoing device surveillance, even in late follow-up.
authors.affiliation: Department of Cardiology,Boston Children's Hospital,Boston,Massachusetts,United States of America.
authors.forename: Molly J
authors.initials: MJ
authors.lastname: Rose
authors.affiliation: Department of Cardiology,Boston Children's Hospital,Boston,Massachusetts,United States of America.
authors.forename: Priscila C
authors.initials: PC
authors.lastname: Cevallos
authors.affiliation: Department of Cardiology,Boston Children's Hospital,Boston,Massachusetts,United States of America.
authors.forename: Laura
authors.initials: L
authors.lastname: Gellis
authors.affiliation: Department of Cardiology,Boston Children's Hospital,Boston,Massachusetts,United States of America.
authors.forename: Lisa
authors.initials: L
authors.lastname: Bergersen
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D002675:Child, Preschool; D020878:Device Removal; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D007223:Infant; D011475:Prosthesis Failure; D013927:Thrombosis / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Thrombus formation; atrial septal defect; complications; late follow-up