Very late erosion of Amplatzer septal occluder device presenting as pericardial pain and effusion 8 years after placement

Catheter Cardiovasc Interv. 2013 Oct 1;82(4):E592-4. doi: 10.1002/ccd.24755. Epub 2013 Mar 18.

Abstract

We report the case of a very late erosion of an Amplatzer septal occluder (ASO) device more than 8 years after implant, presenting without signs of cardiac tamponade. To date, this case represents the longest period between ASO device implantation and clinical presentation following erosion. The overall rate of device erosion remains low, and the majority reported so far has occurred early, but clinicians should remain alert to the possibility of very late erosion in patients with ASO devices.

Keywords: Amplatzer occluder; Amplatzer occluder device; Amplatzer septal occluder; atrial septal defect; cardiac surgery; device removal; septal occluder; thoracic surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Cardiac Surgical Procedures
  • Chest Pain / diagnosis
  • Chest Pain / etiology*
  • Chest Pain / surgery
  • Device Removal
  • Female
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / surgery
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Pericardial Effusion / diagnosis
  • Pericardial Effusion / etiology*
  • Pericardial Effusion / surgery
  • Pericardium / transplantation
  • Prosthesis Design
  • Prosthesis Failure*
  • Septal Occluder Device*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome