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Case Reports
. 2014 Jul;96(5):e3-4.
doi: 10.1308/003588414X13814021679591.

Delayed aorto-right atrial fistula following percutaneous closure of atrial septal defect

M Bashir  1 , H Abudhaise, H Mustafa, M Fok, A Bashir, I Hammoud, J Mascaro
Affiliations
Case Reports

Delayed aorto-right atrial fistula following percutaneous closure of atrial septal defect

M Bashir et al. Ann R Coll Surg Engl. 2014 Jul.

Abstract

We present the case of a 27-year-old man who underwent percutaneous atrial septal defect (ASD) repair using the Amplatzer(®) (St Jude Medical, St Paul, MN, US) septal occluder (ASO). Six weeks later, he presented with heart failure and was found to have an aorto-right atrial fistulation. He required urgent surgical device explantation and repair of the existing ASD using a pericardial patch repair technique. This is the first case to be reported from the UK describing a delayed aorto-right atrial fistula following percutaneous closure using ASO.

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Figures

Figure 1
Figure 1
Preoperative transoesophageal echocardiography (midoesophageal short axis view) showing aorto-right atrial fistula with flow from aorta to right atrium. Arrow indicates Amplatzer® septal occluder.
Figure 2
Figure 2
Transoesophageal echocardiography (midoesophageal short axis view) showing pericardial patch repair of atrial septal defect and patch closure of the fistula showing no residual defect.
Figure 3
Figure 3
Photograph of explanted Amplatzer® device.
See this image and copyright information in PMC

References

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