Surgical treatment of a left atrial rupture during transcatheter atrial septal defect closure: a case study

Abstract

In this article, we report a 37-year-old male case who underwent an emergency surgery of injured left atrium by transcatheteral closure of atrial septal defect (ASD). The patient underwent an urgent surgery when he developed tamponade during the transcatheteral closure of the secundum ASD at the coronary angiography laboratory. After median sternotomy, pericardium was opened. The exploration revealed ruptured left atrial roof and active bleeding at this region. One centimeter diameter ruptured left atrial ceiling was primarily closed by 4/0 prolene, followed by the primary closure of the secundum ASD. Postoperative period was uneventful and the patient was discharged on the fifth postoperative day.