Cargando…

Percutaneous closure of accidental left atrium puncture: a case report

BACKGROUND: Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) pu...

Descripción completa

Detalles Bibliográficos
Autores principales: Sá Mendes, Gustavo, De Araújo Gonçalves, Pedro, Madeira, Sérgio, Oliveira, Paulo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780441/
https://www.ncbi.nlm.nih.gov/pubmed/33426441
http://dx.doi.org/10.1093/ehjcr/ytaa194
_version_ 1783631503995961344
author Sá Mendes, Gustavo
De Araújo Gonçalves, Pedro
Madeira, Sérgio
Oliveira, Paulo
author_facet Sá Mendes, Gustavo
De Araújo Gonçalves, Pedro
Madeira, Sérgio
Oliveira, Paulo
author_sort Sá Mendes, Gustavo
collection PubMed
description BACKGROUND: Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture closed with a plug-based vascular closure device (VCD). CASE SUMMARY: During a palliative right-sided thoracentesis on a 73-year-old woman, with end-stage heart failure due to rheumatic valvular heart disease, an accidental puncture and insertion of a central venous catheter into an aneurysmatic LA occurred. This complication was successfully managed percutaneously, under transthoracic echocardiographic guidance, after cardiac computed tomography planning, using a plug-based VCD. DISCUSSION: This case demonstrates the possible utility of plug-based devices for iatrogenic LA perforation closure, when surgical risk is deemed prohibitive.
format Online
Article
Text
id pubmed-7780441
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-77804412021-01-07 Percutaneous closure of accidental left atrium puncture: a case report Sá Mendes, Gustavo De Araújo Gonçalves, Pedro Madeira, Sérgio Oliveira, Paulo Eur Heart J Case Rep Case Reports BACKGROUND: Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture closed with a plug-based vascular closure device (VCD). CASE SUMMARY: During a palliative right-sided thoracentesis on a 73-year-old woman, with end-stage heart failure due to rheumatic valvular heart disease, an accidental puncture and insertion of a central venous catheter into an aneurysmatic LA occurred. This complication was successfully managed percutaneously, under transthoracic echocardiographic guidance, after cardiac computed tomography planning, using a plug-based VCD. DISCUSSION: This case demonstrates the possible utility of plug-based devices for iatrogenic LA perforation closure, when surgical risk is deemed prohibitive. Oxford University Press 2020-08-23 /pmc/articles/PMC7780441/ /pubmed/33426441 http://dx.doi.org/10.1093/ehjcr/ytaa194 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ 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 non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Sá Mendes, Gustavo
De Araújo Gonçalves, Pedro
Madeira, Sérgio
Oliveira, Paulo
Percutaneous closure of accidental left atrium puncture: a case report
title Percutaneous closure of accidental left atrium puncture: a case report
title_full Percutaneous closure of accidental left atrium puncture: a case report
title_fullStr Percutaneous closure of accidental left atrium puncture: a case report
title_full_unstemmed Percutaneous closure of accidental left atrium puncture: a case report
title_short Percutaneous closure of accidental left atrium puncture: a case report
title_sort percutaneous closure of accidental left atrium puncture: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780441/
https://www.ncbi.nlm.nih.gov/pubmed/33426441
http://dx.doi.org/10.1093/ehjcr/ytaa194
work_keys_str_mv AT samendesgustavo percutaneousclosureofaccidentalleftatriumpunctureacasereport
AT dearaujogoncalvespedro percutaneousclosureofaccidentalleftatriumpunctureacasereport
AT madeirasergio percutaneousclosureofaccidentalleftatriumpunctureacasereport
AT oliveirapaulo percutaneousclosureofaccidentalleftatriumpunctureacasereport