Key result
Percutaneous deployment of an Amplatzer Duct Occluder II device successfully sealed an inadvertent ascending aortic perforation following a transseptal puncture, avoiding open-heart surgery.
Why the study?
Transseptal puncture carries a risk of aortic perforation, typically requiring surgical repair when conservative management fails.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
May enable percutaneous bailout for rare aortic perforation post-transseptal puncture; leaves open need for safety data in larger series.
Transseptal puncture is a routine technique to access the left atrium during catheter ablation, but carries a small risk of perforation into the pericardium or aorta. When conservative management fails, surgical repair is usually needed. We report an 81-year-old male in whom aortic root perforation occurred after transseptal puncture and was treated successfully by percutaneous deployment of an Amplatzer Duct Occluder II device.
No takes yet. Share an insight, caveat, or question.
Qureshi et al. (2019) conducted a case report in Ascending aortic perforation after transseptal puncture (n=1). Amplatzer Duct Occluder II device was evaluated on Closure of aortic perforation. Percutaneous deployment of an Amplatzer Duct Occluder II device successfully sealed an inadvertent ascending aortic perforation following a transseptal puncture, avoiding open-heart surgery.
Synapse has enriched 10 related papers. Consider them for comparative context: