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Case report
Takuma Kobayashi
Kyoto Prefecture: Kyoto-fu
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9775-2572
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Cardiac erosion after percutaneous atrial septal defect (ASD) closure is a rare complication that requires immediate life-saving emergency surgery. In this report, we present our successful life-saving strategy for cardiac arrest due to cardiac tamponade caused by erosion 6 years after the percutaneous closure of an ASD.
Case presentation:. The patient was a 50-year-old man who received Amplatzer septal occlude (St. Jude Medical, St Paul, MN, USA) treatment for ostium secundum atrial septal defect (size: 29.5 × 27.0 mm) at another institution when he was 44 years old.
Conclusion: The key point of this case was a bailout surgical strategy for patients who were hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case suggests that cardiac surgeons need to be aware of the complications of percutaneous ASD closure and consider a bailout surgical strategy for patients at risk of multiple organ failure.
Keywords
atrial septal defect, Amplatzer septal occluder, erosion
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CURRENT STATUS: Under Review
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Posted 12 Apr, 2021
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On 06 Apr, 2021
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A new preprint design is coming!
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This preprint is under consideration at Journal of Cardiothoracic Surgery. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Takuma Kobayashi
Kyoto Prefecture: Kyoto-fu
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9775-2572
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 12 Apr, 2021
No community comments so far
Editorial decision: Revise before peer review
On 07 Apr, 2021
Editor assigned
On 06 Apr, 2021
Submission checks complete
On 06 Apr, 2021
Editor invited
On 06 Apr, 2021
First submitted
On 24 Mar, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Cardiac erosion after percutaneous atrial septal defect (ASD) closure is a rare complication that requires immediate life-saving emergency surgery. In this report, we present our successful life-saving strategy for cardiac arrest due to cardiac tamponade caused by erosion 6 years after the percutaneous closure of an ASD.
Case presentation:. The patient was a 50-year-old man who received Amplatzer septal occlude (St. Jude Medical, St Paul, MN, USA) treatment for ostium secundum atrial septal defect (size: 29.5 × 27.0 mm) at another institution when he was 44 years old.
Conclusion: The key point of this case was a bailout surgical strategy for patients who were hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case suggests that cardiac surgeons need to be aware of the complications of percutaneous ASD closure and consider a bailout surgical strategy for patients at risk of multiple organ failure.
Figure 1
Figure 2
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