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Late-term development of an atrial defect and thrombus formation after device fracture following successful transcatheter closure of an atrial septal defect with a STARFlex device

Published online by Cambridge University Press:  12 December 2016

Molly J. Rose
Affiliation:
Department of Cardiology, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Priscila C. Cevallos
Affiliation:
Department of Cardiology, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Laura Gellis
Affiliation:
Department of Cardiology, Boston Children’s Hospital, Boston, Massachusetts, United States of America
Lisa Bergersen*
Affiliation:
Department of Cardiology, Boston Children’s Hospital, Boston, Massachusetts, United States of America
*
Correspondence to: L. Bergersen, MD, MPH, Department of Cardiology, Boston Children’s Hospital, Bader 607, 300 Longwood Avenue, Boston, MA 02115, United States of America. Tel: 617 355 6529; Fax: 617 730 7548; E-mail: [email protected]

Abstract

Development of a new defect following transcatheter closure of an atrial septal defect has yet to be reported. In this study, we present an acutely successful atrial septal defect closure with a STARFlex device, resulting in surgical explantation after discovery of device fracture, thrombus formation, and a second atrial defect 5 years after catheterisation. This case highlights the need for ongoing device surveillance, even in late follow-up.

Type
Brief Report
Copyright
© Cambridge University Press 2016 

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References

1. Eadie, LA, King, MW. Biotextiles for atrial septal defect repair. In: King MW, Gupta BS, Guidoin R (eds). Biotextiles as Medical Implants, 1st edn. Woodhead Publishing Limited, Philadelphia, PA, 2013: 548549.Google Scholar
2. Law, MA, Josey, J, Justino, H, Mullins, CE, Ing, FF, Nugent, AW. Long-term follow-up of the STARFlex device for closure of secundum atrial septal defect. Catheter Cardiovasc Interv 2009; 73: 190195.CrossRefGoogle ScholarPubMed
3. Krumsdorf, U, Ostermayer, S, Billinger, K, et al. Incidence and clinical course of thrombus formation on atrial septal defects and patent foramen ovale closure devices in 1000 consecutive patients. J Am Coll Cardiol 2004; 43: 302309.CrossRefGoogle Scholar
4. Tchantchaleishvili, V, Melvin, AL, Ling, FS, Knight, PA. Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade. Interact Cardiovasc Thorac Surg 2014; 19: 10741076.CrossRefGoogle ScholarPubMed
5. Dendramis, G, Paleologo, C, Piraino, D, Augugliaro, S. Very late dislocation of an Amplatzer septal occluder device suspected thanks to a recent onset of right-axis deviation. JACC Cardiovasc Interv 2016; 9: 859860.CrossRefGoogle ScholarPubMed
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