Patch abscess after a closure of an atrial septal defect

Stoica, Lucian; Tinică, Grigore; Gradinariu, George; Butcovan, Doina; Macovei, Liviu

doi:10.1093/ehjci/jet147

Cited by 2 publications

(2 citation statements)

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“…We identified twenty‐one cases of infective endocarditis following atrial septal device closure (Table ). Three studies did not meet the selection criteria (fungal endocarditis following ventricular septal defect hybrid procedure , atrial septal defect presenting with Brucella endocarditis , and patch abcess after surgical closure of an atrial septal defect ).…”

Section: Literature Reviewmentioning

confidence: 99%

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Amedro

Soulatges

Fraisse

2016

Cathet Cardio Intervent

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We report a case of late infective endocarditis in an 8-year-old boy 3 years after transcatheter closure of an atrial septal defect with the Amplatzer Atrial Septal Occluder Device. Echocardiography showed a very thick pannus lining the left atrial disc of the prosthesis, with some mobile elements. MRI showed several cerebral microemboli. The patient had dental caries and blood cultures found Staphylococcus aureus. Patient was treated with gentamicin and oxacillin before surgical removal of the prosthesis. Twenty-one cases of infective endocarditis after atrial defect device closure have been reported in the literature (13 ostium secundum ASD and 8 patent foramen ovale). Seven pediatric cases were reported. S. aureus was the most frequent bacterium. Antibiotics were administered in all cases and most patients (n = 18) underwent surgical removal of the device. Incomplete endothelialization of the prosthesis was a suggested mechanism. Two patients died after surgery. © 2016 Wiley Periodicals, Inc.

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Section: Literature Reviewmentioning

confidence: 99%

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Amedro

Soulatges

Fraisse

2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…Because the valve sewing ring, mitral annulus, and anchoring sutures are not endothelialized early after valve implantation, there is increased risk for prosthetic valve endocarditis. 6 , 7 , 8 We hypothesize that in our case, the abscess on the interatrial septum could have formed either by seeding of the interatrial septum from mobile suppurative vegetations or de novo during the postoperative period, when the interatrial septum was exposed to bacteremia from the sternal wound infection. Transesophageal echocardiography using three-dimensional imaging provided excellent anatomic details in this case by confirming the size and location of the abscess.…”

Section: Discussionmentioning

confidence: 79%