Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect

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 su...

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Detalles Bibliográficos
Autores principales: Kim, Ji Seong, Yeom, Sang Yoon, Kim, Sue Hyun, Choi, Jae Woong, Kim, Kyung Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5380204/
https://www.ncbi.nlm.nih.gov/pubmed/28382270
http://dx.doi.org/10.5090/kjtcs.2017.50.2.110
Descripción
Sumario: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.

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