Cardiac perforation following transcatheter PFO closure

Trian, Thomas; Zeplin, H; Sievert, Horst; Billinger, Kai; Krumsdorf, Ulrike; Zadan, Elisabeth; Horvath, Kathrin

doi:10.1002/ccd.10371

Cited by 62 publications

(32 citation statements)

References 69 publications

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“…30 -33 Erosions have been reported with multiple devices, including the Amplatzer Septal Occluder, the Atrial Septal Defect Occluder System, and the Angel-Wings device. 29,30,34,35 Of these, rare cases of aorto-atrial fistulas have been published, but none of these cases involved structural deterioration of the actual devices. 35,36 In comparison, atrial free-wall erosion is a more common complication.…”

Section: Device Erosionmentioning

confidence: 99%

Echocardiographic Assessment of Percutaneous Patent Foramen Ovale and Atrial Septal Defect Closure Complications

Yared

Baggish

Solı́s

et al. 2009

Circ: Cardiovascular Imaging

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Section: Device Erosionmentioning

confidence: 99%

Echocardiographic Assessment of Percutaneous Patent Foramen Ovale and Atrial Septal Defect Closure Complications

Yared

Baggish

Solı́s

et al. 2009

Circ: Cardiovascular Imaging

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“…This complication was described with different devices. 5,6 In this case, we suspected that slow erosion of the left atrial roof and the aortic wall were responsible for a hemorrhagic pericardial effusion. There was no shunt detected between the aorta and the left atrium because the responsible strut remained in place until surgical removal.…”

Section: Discussionmentioning

confidence: 92%

Late cardiac tamponade after percutaneous closure of a patent foramen ovale

Christen

Mach

Didier

et al. 2005

European Journal of Echocardiography

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We report the case of a 35-year-old man who had a transient ischemic cerebral attack and then underwent a percutaneous closure of the patent foramen ovale (PFO) with a Cardiastar device. One year later, the patient developed a cardiac tamponade due to an important hemorrhagic pericardial effusion. Transoesophageal echocardiography showed that one of the struts had impinged on the aortic root in the region adjacent to the transverse pericardial sinus. Therefore, we speculated that the strut had passed through the aortic wall by slow erosion, leading to the pericardial effusion. Cardiac CT and subsequent surgery confirmed the perforation of the left atrial roof and the aortic root by two struts of the device. This is the first reported case of late cardiac tamponade and underscores the importance of long-term follow-up after PFO closure device implantation.

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“…From the metaanalysis of Khairy and colleagues, 76 several complications have been reported in the literature ( Table 10). [77][78][79] Furthermore, complications could be also classified as procedure related or device related (Table 11). …”

Section: Complications Related To Pfo Closure Procedures Procedural Comentioning

confidence: 99%