Erosion of an Amplatzer septal occluder device into the aortic root

Ann Thorac Surg. 2011 May;91(5):1608-10. doi: 10.1016/j.athoracsur.2010.10.076.


Atrial septal defects can be closed surgically or percutaneously. We report a patient who underwent percutaneous closure of an atrial septal defect with an Amplatzer septal occluder device (AGA Medical Corp, Golden Valley, MN). The patient presented 4 months later with congestive heart failure secondary to an erosion of the Amplatzer septal occluder into the aortic root. The device was removed surgically, and the fistula was repaired. Amplatzer septal occluder indications, selection criteria, and complications are discussed.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Balloon Occlusion / adverse effects*
  • Balloon Occlusion / methods
  • Cardiac Catheterization / methods
  • Device Removal
  • Echocardiography, Transesophageal / methods
  • Emergency Treatment / methods
  • Follow-Up Studies
  • Heart Failure / diagnosis
  • Heart Failure / etiology
  • Heart Failure / surgery*
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Failure*
  • Radiography
  • Reoperation / methods
  • Septal Occluder Device / adverse effects*
  • Severity of Illness Index
  • Treatment Outcome
  • Vascular Surgical Procedures / methods