Abstract
Atrial septal defect is a common congenital heart defect. In the late 1990s, percutaneous
closure became available and eventually the treatment of choice. The procedure is
considered safe because of its low incidence of complications. Infection rate is extremely
low and occurs typically early after device implantation. Herein we present a case
of late and dramatic infection of an Amplatzer Septal Occluder (St Jude Medical).
This case illustrates that infection remains possible a long time after atrial septal
defect occlusion despite theoretical device endothelialization.
Résumé
La communication interauriculaire est une anomalie congénitale fréquente du cœur.
À la fin des années 1990, la fermeture par voie percutanée est devenue disponible,
puis finalement le traitement de choix. L’intervention est considérée comme étant
sûre puisque ses complications sont peu nombreuses. Le taux d’infection est extrêmement
faible et apparaît habituellement peu de temps après l’implantation du dispositif.
Ici, nous présentons un cas d’infection tardive et importante d’un obturateur septal
Amplatzer (St Jude Medical). Ce cas montre que l’infection demeure possible longtemps
après l’occlusion de la communication interauriculaire en dépit de la théorie entourant
l’endothélialisation du dispositif.
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References
- Early and late complications associated with transcatheter occlusion of secundum atrial septal defect.J Am Coll Cardiol. 2002; 39: 1061-1065
- The spectrum of adult congenital heart disease in Europe: morbidity and mortality in a 5 year follow-up period. The Euro Heart Survey on adult congenital heart disease.Eur Heart J. 2005; 26: 2325-2333
- Late infective endocarditis of an atrial septal occluder device presenting as a cystic mass.Echocardiography. 2011; 28: E131-E133
- Late bacterial endocarditits of an Amplatzer atrial septal device.Indian Heart J. 2013; 65: 450-451
- Incomplete endothelialization and late development of acute bacterial endocarditis after implantation of an Amplatzer septal occluder device.Circulation. 2008; 117: e326-e327
Article info
Publication history
Published online: February 17, 2015
Accepted:
January 1,
2015
Received:
October 11,
2014
Footnotes
See page 1204.e10 for disclosure information.
Identification
Copyright
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
