Key result
Bailout off-pump surgery treats cardiac arrest from erosion-induced tamponade 6 years after ASD closure.
Why the study?
Cardiac erosion after percutaneous ASD closure is a rare complication requiring immediate life-saving emergency surgery.
Case Report (n=1)
No
Highlights the rare but life-threatening risk of cardiac erosion occurring even 6 years after percutaneous ASD closure, requiring immediate bailout surgery.
Answers are grounded in this paper and cite their sources.
Alerts to late erosion risk after ASD closure; leaves open optimal long-term surveillance needs.
BACKGROUND: Cardiac erosion after percutaneous atrial septal defect (ASD) closure is a rare complication that requires immediate life-saving emergency surgery. In this report, we present our successful life-saving strategy for cardiac arrest due to cardiac tamponade caused by erosion 6 years after the percutaneous closure of an ASD. CASE PRESENTATION: The patient was a 50-year-old man who received treatment using an Amplatzer septal occluder (St. Jude Medical, St. Paul, MN, USA) treatment for ostium secundum atrial septal defect (size: 29.5 × 27.0 mm) at another institution when he was 44 years old. CONCLUSIONS: This case report presents a bailout surgical strategy for patients who are hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case shows that cardiac surgeons need to be aware of percutaneous ASD-closure complications and should consider a bailout surgical strategy for patients at risk of multiple organ failure.
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Kobayashi et al. (2021) conducted a case report in Cardiopulmonary arrest with cardiac tamponade caused by erosion (n=1). Bailout surgical strategy without cardiopulmonary bypass was evaluated on Patient survival and recovery.
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