Case report
Late cardiac perforation following transcatheter atrial septal defect closure

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Abstract

Transcatheter closure of secundum atrial septal defect (ASD) has become an alternative to surgery. We present a patient with hemodynamic collapse secondary to cardiac perforation occurring 6-months after the placement of an Amplatzer Septal Occluder and discuss the utilization/complications of this device.

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Comment

Postmarket surveillance of the clinical experience with the Amplatzer Septal Occluder, and other such devices continues. Device malposition, residual shunts, hemolysis, embolization into the right ventricle and pulmonary arterial tree, peripheral embolization into the leg, partial occlusion of the superior vena cava, damage to the mitral or tricuspid valves, and sudden death after implantation of an Amplatzer device from 1 to 18 months later have been reported 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,

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