Fatal Erosion Atrial Septal Defect Device

Catheter Cardiovasc Interv. 2016 Apr;87(5):951-4. doi: 10.1002/ccd.26219. Epub 2015 Sep 10.

Abstract

Percutaneus device closure of atrial septal defects offers an alternative to conventional surgical repair. While procedure techniques and devices have improved, severe complications remain that are neither completely understood nor entire predictable. We present a case of a 19-year-old female with left atrial erosion leading to lethal pericardial tamponade 1 month after ASD II closure using the Nit Occlude ASD-R® (NOASD-R, pfm Medical, Cologne, Germany). To our knowledge this is the first reported lethal complication related to this device.

Keywords: atrial; device closure; tamponade.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology*
  • Cardiac Tamponade / therapy
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Fatal Outcome
  • Female
  • Heart Septal Defects, Atrial / diagnostic imaging
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Prosthesis Design
  • Septal Occluder Device*
  • Treatment Outcome
  • Young Adult

Supplementary concepts

  • Atrial Septal Defect, Secundum Type