Cardiac erosion after catheter closure of atrial septal defect: Septal malalignment may be a novel risk factor for erosion

Yasufumi Kijima, Teiji Akagi, Koji Nakagawa, Worakan Promphan, Norihisa Toh, Kazufumi Nakamura, Shunji Sano, Hiroshi Itoh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Before the closure, two-dimensional and real-time three-dimensional transesophageal echocardiography demonstrated a deficient aortic rim and atrial septal malalignment. Perforation of the right atrium toward the non-coronary sinus of the aortic root was confirmed at the emergent surgery. Cardiac erosion is one of the most catastrophic complications in ASD patients undergoing catheter closure with Amplatzer Septal Occluder. Hence, several risk factors for this complication are discussed and identified. Oversized device deployment and a deficient aortic rim are accepted factors potentially causing cardiac erosion. Besides, atrial septal malalignment, which is a morphological characteristic of ASD, may be a novel risk factor for cardiac erosion..

Original languageEnglish
Pages (from-to)134-137
Number of pages4
JournalJournal of Cardiology Cases
Volume9
Issue number4
DOIs
Publication statusPublished - 2014

Fingerprint

Atrial Heart Septal Defects
Septal Occluder Device
Catheters
Three-Dimensional Echocardiography
Sinus of Valsalva
Cardiac Tamponade
Transesophageal Echocardiography
Heart Atria
Equipment and Supplies

Keywords

  • Atrial septal defect
  • Complication
  • Erosion
  • Pediatric interventions

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Cardiac erosion after catheter closure of atrial septal defect: Septal malalignment may be a novel risk factor for erosion",
abstract = "Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Before the closure, two-dimensional and real-time three-dimensional transesophageal echocardiography demonstrated a deficient aortic rim and atrial septal malalignment. Perforation of the right atrium toward the non-coronary sinus of the aortic root was confirmed at the emergent surgery. Cardiac erosion is one of the most catastrophic complications in ASD patients undergoing catheter closure with Amplatzer Septal Occluder. Hence, several risk factors for this complication are discussed and identified. Oversized device deployment and a deficient aortic rim are accepted factors potentially causing cardiac erosion. Besides, atrial septal malalignment, which is a morphological characteristic of ASD, may be a novel risk factor for cardiac erosion..",
keywords = "Atrial septal defect, Complication, Erosion, Pediatric interventions",
author = "Yasufumi Kijima and Teiji Akagi and Koji Nakagawa and Worakan Promphan and Norihisa Toh and Kazufumi Nakamura and Shunji Sano and Hiroshi Itoh",
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journal = "Journal of Cardiology Cases",
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TY - JOUR

T1 - Cardiac erosion after catheter closure of atrial septal defect

T2 - Septal malalignment may be a novel risk factor for erosion

AU - Kijima, Yasufumi

AU - Akagi, Teiji

AU - Nakagawa, Koji

AU - Promphan, Worakan

AU - Toh, Norihisa

AU - Nakamura, Kazufumi

AU - Sano, Shunji

AU - Itoh, Hiroshi

PY - 2014

Y1 - 2014

N2 - Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Before the closure, two-dimensional and real-time three-dimensional transesophageal echocardiography demonstrated a deficient aortic rim and atrial septal malalignment. Perforation of the right atrium toward the non-coronary sinus of the aortic root was confirmed at the emergent surgery. Cardiac erosion is one of the most catastrophic complications in ASD patients undergoing catheter closure with Amplatzer Septal Occluder. Hence, several risk factors for this complication are discussed and identified. Oversized device deployment and a deficient aortic rim are accepted factors potentially causing cardiac erosion. Besides, atrial septal malalignment, which is a morphological characteristic of ASD, may be a novel risk factor for cardiac erosion..

AB - Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Before the closure, two-dimensional and real-time three-dimensional transesophageal echocardiography demonstrated a deficient aortic rim and atrial septal malalignment. Perforation of the right atrium toward the non-coronary sinus of the aortic root was confirmed at the emergent surgery. Cardiac erosion is one of the most catastrophic complications in ASD patients undergoing catheter closure with Amplatzer Septal Occluder. Hence, several risk factors for this complication are discussed and identified. Oversized device deployment and a deficient aortic rim are accepted factors potentially causing cardiac erosion. Besides, atrial septal malalignment, which is a morphological characteristic of ASD, may be a novel risk factor for cardiac erosion..

KW - Atrial septal defect

KW - Complication

KW - Erosion

KW - Pediatric interventions

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