Three for one - Cardiac perforations at three sites following atrial septal defect device closure.

Ann Pediatr Cardiol

Department of Cardiothoracic and Vascular Surgery, The Madras Medical Mission Hospital, Chennai, Tamil Nadu, India.

Published: October 2024

AI Article Synopsis

  • Interventional cardiac catheterization has advanced as a treatment for congenital heart disease, but it can lead to complications that may require emergency surgeries as a backup.
  • This report discusses a case where the device used to close an atrial septal defect (ASD) caused cardiac perforations at three locations: the roof of the left atrium (LA), the right atrium (RA), and the junction with the aorta.
  • The erosion of the device at these sites resulted in hemopericardium, a condition characterized by fluid accumulation in the pericardial cavity.

Article Abstract

The interventional cardiac catheterization for treating congenital heart disease has evolved. Complications following interventional procedures might need emergency surgery as a bailout. Here, we report a case of cardiac perforations in three different sites following device closure of atrial septal defect (ASD). In literature, the major sites of ASD device erosion are at the roof of the right atrium (RA), left atrium (LA), or at the atrial junction with the aorta. In our patient, the device eroded at all three sites: the roof of the LA, RA, and the aorta, causing hemopericardium.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573189PMC
http://dx.doi.org/10.4103/apc.apc_51_24DOI Listing

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