See the published version of this preprint at Journal of Cardiothoracic Surgery.
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Case report
Jia-Wang Ding
Institute of Cardiovascular Diseases, China Three Gorges University
Corresponding Author
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Background: While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it's life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.
Case presentation: We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.
Conclusions: With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.
Keywords
atrial septal defect (ASD), percutaneous intervention, Amplatzer septal occluder (ASO), atrial and aortic erosion
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CURRENT STATUS: Published
View the published article at Journal of Cardiothoracic Surgery.
Version 1
Posted 16 Oct, 2020
No community comments so far
Review #2 received
Received 01 Jan, 2021
Reviewer #2 agreed
On 29 Dec, 2020
Review #1 received
Received 15 Nov, 2020
Reviewer #1 agreed
On 01 Nov, 2020
Reviewers invited
Invitations sent on 31 Oct, 2020
First submitted
On 08 Oct, 2020
Editor assigned
On 08 Oct, 2020
Submission checks complete
On 07 Oct, 2020
Editor invited
On 07 Oct, 2020
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HTML Views: ...
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Journal of Cardiothoracic Surgery.
This is a preprint, 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
Jia-Wang Ding
Institute of Cardiovascular Diseases, China Three Gorges University
Corresponding Author
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: Published
View the published article at Journal of Cardiothoracic Surgery.
Version 1
Posted 16 Oct, 2020
No community comments so far
Review #2 received
Received 01 Jan, 2021
Reviewer #2 agreed
On 29 Dec, 2020
Review #1 received
Received 15 Nov, 2020
Reviewer #1 agreed
On 01 Nov, 2020
Reviewers invited
Invitations sent on 31 Oct, 2020
First submitted
On 08 Oct, 2020
Editor assigned
On 08 Oct, 2020
Submission checks complete
On 07 Oct, 2020
Editor invited
On 07 Oct, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Journal of Cardiothoracic Surgery.
Background: While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it's life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.
Case presentation: We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.
Conclusions: With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
This is a list of supplementary files associated with this preprint. Click to download.
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