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
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author Kim, Ji Seong
Yeom, Sang Yoon
Kim, Sue Hyun
Choi, Jae Woong
Kim, Kyung Hwan
author_facet Kim, Ji Seong
Yeom, Sang Yoon
Kim, Sue Hyun
Choi, Jae Woong
Kim, Kyung Hwan
author_sort Kim, Ji Seong
collection PubMed
description 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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spelling pubmed-53802042017-04-05 Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect Kim, Ji Seong Yeom, Sang Yoon Kim, Sue Hyun Choi, Jae Woong Kim, Kyung Hwan Korean J Thorac Cardiovasc Surg Case Report 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. The Korean Society for Thoracic and Cardiovascular Surgery 2017-04 2017-04-05 /pmc/articles/PMC5380204/ /pubmed/28382270 http://dx.doi.org/10.5090/kjtcs.2017.50.2.110 Text en Copyright © 2017 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Ji Seong
Yeom, Sang Yoon
Kim, Sue Hyun
Choi, Jae Woong
Kim, Kyung Hwan
Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title_full Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title_fullStr Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title_full_unstemmed Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title_short Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
title_sort delayed left atrial perforation associated with erosion after device closure of an atrial septal defect
topic Case Report
url 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
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