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Late tamponade secondary to aortic root perforation by BioSTAR septal closure device

Published in The annals of thoracic surgery. 2011, vol. 91, no. 2, p. 604-6
Abstract We report a patient who presented with pericardial tamponade 9 months after percutaneous closure of a patent foramen ovale using a BioSTAR septal closure device (NMT Medical, Boston, MA). During the operation, bleeding was observed on the posterior aortic root caused by a nonendothelialized strut. The device was explanted, followed by pericardial patch aortoplasty and patch closure of the patent foramen ovale. This report presents a case of late tamponade related to the new-generation bioabsorbable BioSTAR device. Although late complications related with BioSTAR are rare, the presentation may be dramatic. A high index of suspicion and quick intervention is often lifesaving.
Keywords Absorbable Implants/adverse effectsAorta/injuriesCardiac Tamponade/diagnosis/etiologyChest Pain/etiologyEchocardiographyEchocardiography, TransesophagealFemaleForamen Ovale, Patent/therapyHumansMiddle AgedProstheses and Implants/adverse effectsShock, Cardiogenic/etiologyWound Closure Techniques/adverse effectsWounds, Penetrating/diagnosis/etiology/surgery
PMID: 21256328
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Research group Chirurgie cardio-vasculaire (105)
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CIKIRIKCIOGLU, Mustafa et al. Late tamponade secondary to aortic root perforation by BioSTAR septal closure device. In: The annals of thoracic surgery, 2011, vol. 91, n° 2, p. 604-6. doi: 10.1016/j.athoracsur.2010.07.089 https://archive-ouverte.unige.ch/unige:24902

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Deposited on : 2013-01-03

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