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- Title
A life-saving case of cardiopulmonary arrest with cardiac tamponade caused by erosion 6 years after percutaneous atrial septal defect closure: a case report.
- Authors
Kobayashi, Takuma; Watanabe, Taiji; Fu, Haruka; Yohei, Okada; Goto, Tomoyuki
- Abstract
<bold>Background: </bold>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.<bold>Case Presentation: </bold>The patient was a 50-year-old man who received treatment using an Amplatzer septal occluder (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.<bold>Conclusions: </bold>This case report presents a bailout surgical strategy for patients who are hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case shows that cardiac surgeons need to be aware of percutaneous ASD-closure complications and should consider a bailout surgical strategy for patients at risk of multiple organ failure.
- Subjects
SAINT Paul (Minn.); ATRIAL septal defects; CARDIAC arrest; ST. Jude Medical Inc.; CARDIAC tamponade; MULTIPLE organ failure; EROSION; SURGICAL emergencies
- Publication
Journal of Cardiothoracic Surgery, 2021, Vol 16, Issue 1, p1
- ISSN
1749-8090
- Publication type
journal article
- DOI
10.1186/s13019-021-01537-4