| Aortic wall erosion after percutaneous closure of atrial septal defect. | |
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MedLine Citation:
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PMID: 20674270 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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A 26-year-old woman presented with acute hemolysis 1 month after percutaneous closure of an atrial septal defect. Three-dimensional transesophageal echocardiography was used to establish the diagnosis of a fistula from the aorta, toward the device and both atria. The patient required urgent surgical correction. Transcatheter closure of atrial septal defects has proven to be a highly successful alternative to surgery in the appropriate patient. Cardiac perforation and device erosion of the aortic wall are infrequent but potentially lethal complications of percutaneous occluder device insertion. Supportive features of device erosion include a wrong preimplantation assessment of the rims, the device extends across the atrial septum, and the device encroaches on the surrounding structures. In this case, the presumed mechanism of aortic fistula was aortic erosion by the left atrial disk of the occluder device. |
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Authors:
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Teresa López-Fernández; José Juan Gómez de Diego; María Carmen Monedero; David Cabestrero; José María Mesa; Isidro Moreno; Mar Moreno Yangüela; Esteban López de Sa; José Luis López-Sendoón |
Publication Detail:
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Type: Journal Article Date: 2010-08-01 |
Journal Detail:
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Title: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography Volume: 24 ISSN: 1097-6795 ISO Abbreviation: J Am Soc Echocardiogr Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8801388 Medline TA: J Am Soc Echocardiogr Country: United States |
Other Details:
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Languages: eng Pagination: 227.e5-8 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Hospital Universitario La Paz. Servicio de Cardiología. Servicio de Anestesia y reanimación. Servicio de Cirugía cardiaca. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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