Key result
Transcatheter ASD closure and pacemaker implantation linked to late right atrial rupture in one patient.
Highlights a rare and severe complication of late right atrial rupture potentially associated with the combined presence of an ASD occluder and pacemaker leads.
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May warrant vigilance for late atrial rupture after ASD closure plus pacemaker; leaves open device interaction as etiology.
We report a remarkable case of right atrial rupture, 3 years after transcatheter closure of a secundum atrial septal defect, and 7 months after permanent transvenous two-chamber pacemaker implantation. The etiology of the rupture remains unclear, but the presence of the two intracardiac devices is probably not coincidental.
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Huysmans et al. (2008) studied this question. Transcatheter atrial septal defect closure and transvenous pacemaker implantation were potentially linked to a late right atrial rupture in a single patient.
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