Late bacterial endocarditis of an amplatzer atrial septal defect occluder device

Firas Zahr; William E Katz; Yoshiya Toyoda; William D Anderson

doi:10.1016/j.amjcard.2009.09.011

Late bacterial endocarditis of an amplatzer atrial septal defect occluder device

Am J Cardiol. 2010 Jan 15;105(2):279-80. doi: 10.1016/j.amjcard.2009.09.011.

Authors

Firas Zahr¹, William E Katz, Yoshiya Toyoda, William D Anderson

Affiliation

¹ Cardiovascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

PMID: 20102932
DOI: 10.1016/j.amjcard.2009.09.011

Abstract

A 66-year-old man with a large secundum atrial septal defect (ASD) that had been repaired percutaneously 30 months previously with an Amplatzer ASD occluder (ASO) presented with fevers and Staphylococcus aureus bacteremia. Transesophageal echocardiography revealed a 1.5 x 1.5 cm mobile mass on the left atrial side of his ASO consistent with a vegetation. When the ASO was explanted, the left atrial side of the device was poorly endothelialized. In conclusion, the present report is the first description of late infective endocarditis in an adult with an ASO.

Publication types

Case Reports

MeSH terms

Aged
Balloon Occlusion / adverse effects
Balloon Occlusion / instrumentation*
Cardiac Catheterization / adverse effects
Cardiac Catheterization / instrumentation*
Endocarditis, Bacterial / diagnosis
Endocarditis, Bacterial / etiology*
Endocarditis, Bacterial / therapy
Heart Septal Defects, Atrial / surgery*
Humans
Male
Prosthesis-Related Infections / diagnosis
Prosthesis-Related Infections / etiology*
Prosthesis-Related Infections / therapy
Staphylococcal Infections / diagnosis
Staphylococcal Infections / etiology*
Staphylococcal Infections / therapy