A Very Late Life-Threatening Complication After Percutaneous Closure of an Atrial Septal Defect

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• 作者：Giancarlo Scognamiglio ; MD ; PhD^a ; ^{giancascognamiglio@alice.it} ; Rosaria Barracano ; MD^a ; Diego Colonna ; MD^a ; Agostino Mattera Iacono ; MD^a ; Giuseppe Santoro ; MD^a ; Andrea Spadafora ; MD^b ; Gianantonio Nappi ; MD^b ; Maria Giovanna Russo ; MD^a ; Berardo Sarubbi ; MD ; PhD^a
• 刊名：Canadian Journal of Cardiology
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：33
• 期：2
• 页码：293.e1-293.e2
• 全文大小：597 K
• 卷排序：33

文摘

Percutaneous closure is widely recognized as the first therapeutic option in the majority of cases of secundum atrial septal defect (ASD) because of its high effectiveness and safety.Nonetheless, with the progressive increase of implanted devices and follow-up duration, several adverse events, some of them potentially life-threatening, have been reported.We report the case of an asymptomatic aortic erosion that occurred 13 years after the procedure. The main feature of our case is the very late occurrence of a life-threatening asymptomatic complication of ASD percutaneous closure, which should prompt lifelong surveillance in this population.