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Canadian Journal of Cardiology

Late Infection of an Atrial Septal Defect Closure Device: A Possible Complication

Published:February 17, 2015DOI:https://doi.org/10.1016/j.cjca.2015.01.043

      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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