Document Detail

Late cardiac tamponade after percutaneous closure of a patent foramen ovale.
MedLine Citation:
PMID:  16181810     Owner:  NLM     Status:  MEDLINE    
We report the case of a 35-year-old man who had a transient ischemic cerebral attack and then underwent a percutaneous closure of the patent foramen ovale (PFO) with a Cardiastar device. One year later, the patient developed a cardiac tamponade due to an important hemorrhagic pericardial effusion. Transoesophageal echocardiography showed that one of the struts had impinged on the aortic root in the region adjacent to the transverse pericardial sinus. Therefore, we speculated that the strut had passed through the aortic wall by slow erosion, leading to the pericardial effusion. Cardiac CT and subsequent surgery confirmed the perforation of the left atrial roof and the aortic root by two struts of the device. This is the first reported case of late cardiac tamponade and underscores the importance of long-term follow-up after PFO closure device implantation.
Thomas Christen; François Mach; Dominique Didier; Afksendyios Kalangos; Vitali Verin; Pedro T Trindade
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-09-21
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  6     ISSN:  1525-2167     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-18     Completed Date:  2006-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  465-9     Citation Subset:  IM    
Division of Cardiology, University Hospital, Geneva, Switzerland.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects*,  instrumentation
Cardiac Tamponade / etiology*,  ultrasonography*
Echocardiography, Transesophageal
Follow-Up Studies
Heart Septal Defects, Atrial / surgery*,  ultrasonography*
Pericardial Effusion / etiology,  ultrasonography
Prostheses and Implants / adverse effects*
Comment In:
Eur J Echocardiogr. 2005 Dec;6(6):393-5   [PMID:  16263334 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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