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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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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 |
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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 |
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