Korean J Thorac Cardiovasc Surg.  2017 Apr;50(2):110-113. 10.5090/kjtcs.2017.50.2.110.

Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Korea. kkh726@snu.ac.kr

Abstract

A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.

Keyword

Atrial septal defects; Atrium; Septal occluder device; Cardiac tamponade; Heart atria

MeSH Terms

Adult
Back Pain
Cardiac Tamponade
Device Removal
Heart Arrest
Heart Atria
Heart Septal Defects, Atrial*
Humans
Resuscitation
Septal Occluder Device
Shock, Cardiogenic
Thorax
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