title: Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect.
abstract: A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Ji Seong
authors.initials: JS
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Sang Yoon
authors.initials: SY
authors.lastname: Yeom
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Sue Hyun
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Jae Woong
authors.initials: JW
authors.lastname: Choi
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
authors.forename: Kyung Hwan
authors.initials: KH
authors.lastname: Kim
keywords: Atrial septal defects; Atrium; Cardiac tamponade; Heart atria; Septal occluder device