title: A Very Late Life-Threatening Complication After Percutaneous Closure of an Atrial Septal Defect.
abstract: Percutaneous closure is widely recognized as the first therapeutic option in the majority of cases of secundum atrial septal defect (ASD) because of its high effectiveness and safety. Nonetheless, with the progressive increase of implanted devices and follow-up duration, several adverse events, some of them potentially life-threatening, have been reported. We report the case of an asymptomatic aortic erosion that occurred 13 years after the procedure. The main feature of our case is the very late occurrence of a life-threatening asymptomatic complication of ASD percutaneous closure, which should prompt lifelong surveillance in this population.
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy. Electronic address: giancascognamiglio@alice.it.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Scognamiglio
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Rosaria
authors.initials: R
authors.lastname: Barracano
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Diego
authors.initials: D
authors.lastname: Colonna
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Agostino
authors.initials: A
authors.lastname: Mattera Iacono
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Santoro
authors.affiliation: Department of Cardiothoracic Sciences, Second University of Naples, Naples, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Spadafora
authors.affiliation: Department of Cardiothoracic Sciences, Second University of Naples, Naples, Italy.
authors.forename: Gianantonio
authors.initials: G
authors.lastname: Nappi
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Maria Giovanna
authors.initials: MG
authors.lastname: Russo
authors.affiliation: Paediatric Cardiology and GUCH Unit, AORN "Ospedali dei Colli," Second University of Naples, Naples, Italy.
authors.forename: Berardo
authors.initials: B
authors.lastname: Sarubbi
mesh_terms: D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006328:Cardiac Catheterization / Q000009:adverse effects; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D011183:Postoperative Complications; D055989:Septal Occluder Device / Q000009:adverse effects*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D055815:Young Adult