Published online October 16, 2006
PEDIATRICS Vol. 118 No. 5 November 2006, pp. e1572-e1575 (doi:10.1542/peds.2005-0825)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Maimon, M. S.
Right arrow Articles by Benson, L. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maimon, M. S.
Right arrow Articles by Benson, L. N.
Related Collections
Right arrow Heart & Blood Vessels
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

EXPERIENCE & REASON

Cardiac Perforation 6 Weeks After Percutaneous Atrial Septal Defect Repair Using an Amplatzer Septal Occluder

Michal S. Maimon, MDa, Savithiri Ratnapalan, MBBS, MEd, MRCP, FRCPC, FAAPa, Anh Do, MDa, Joel A. Kirsh, MDb, Gregory J. Wilson, MDc and Lee N. Benson, MDb

a Divisions of Emergency Medicine
b Cardiology
c Pathology, Hospital for Sick Children, Toronto, Ontario, Canada

ABSTRACT

A 14-year-old boy presented to the emergency department unaccompanied by his parents with a decreased level of consciousness, bradycardia, and hypotension after a syncopal episode. The patient's electronic chart revealed a percutaneous closure of a secundum atrial septal defect using an Amplatzer septal occluder (AGA Medical, Golden Valley, MN) 6 weeks before this presentation. An urgent echocardiogram revealed a moderate pericardial effusion, and 320 mL of fresh blood was evacuated by subxiphoid pericardiocentesis. The child underwent surgical exploration and was found to have a perforation in the superior-posterior aspect of the right atrium, which was corrected. The septal occluder was extracted, and the atrial septal defect was closed with a pericardial patch. This case illustrates a rare but life-threatening complication of percutaneous closure of atrial septal defect using an Amplatzer septal occluder and the importance of timely access to patient records when available history and physical examination are limited.

Key Words: Amplatzer septal occluder • cardiac perforation • tamponade • complication • electronic charting

Abbreviations: ASD, atrial septal defect

Accepted Jun 5, 2006.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. J. Dibardino, D. B. McElhinney, A. K. Kaza, and J. E. Mayer Jr.
Analysis of the US Food and Drug Administration Manufacturer and User Facility Device Experience database for adverse events involving Amplatzer septal occluder devices and comparison with the Society of Thoracic Surgery congenital cardiac surgery database.
J. Thorac. Cardiovasc. Surg., June 1, 2009; 137(6): 1334 - 1341.
[Abstract] [Full Text] [PDF]