A Very Late Life-Threatening Complication After Percutaneous Closure of an Atrial Septal Defect

Can J Cardiol. 2017 Feb;33(2):293.e1-293.e2. doi: 10.1016/j.cjca.2016.09.003. Epub 2016 Sep 14.

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.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology*
  • Aortic Aneurysm, Thoracic / surgery
  • Blood Vessel Prosthesis Implantation / methods
  • Cardiac Catheterization / adverse effects
  • Cardiac Surgical Procedures / adverse effects*
  • Echocardiography, Transesophageal
  • Follow-Up Studies
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Postoperative Complications*
  • Septal Occluder Device / adverse effects*
  • Time Factors
  • Tomography, X-Ray Computed
  • Young Adult