UNIGE document Scientific Article - Case report
previous document  unige:39732  next document
add to browser collection

Late cardiac tamponade after percutaneous closure of a patent foramen ovale

Trindade, Pedro T
Published in European journal of echocardiography. 2005, vol. 6, no. 6, p. 465-9
Abstract We report the case of a 35-year-old man who had a transient ischemic cerebral attack and then underwent a percutaneous closure of the patent foramen ovale (PFO) with a Cardiastar device. One year later, the patient developed a cardiac tamponade due to an important hemorrhagic pericardial effusion. Transoesophageal echocardiography showed that one of the struts had impinged on the aortic root in the region adjacent to the transverse pericardial sinus. Therefore, we speculated that the strut had passed through the aortic wall by slow erosion, leading to the pericardial effusion. Cardiac CT and subsequent surgery confirmed the perforation of the left atrial roof and the aortic root by two struts of the device. This is the first reported case of late cardiac tamponade and underscores the importance of long-term follow-up after PFO closure device implantation.
Keywords AdultCardiac Surgical Procedures/adverse effects/instrumentationCardiac Tamponade/etiology/ultrasonographyEchocardiography, TransesophagealFollow-Up StudiesHeart Septal Defects, Atrial/surgery/ultrasonographyHumansMalePericardial Effusion/etiology/ultrasonographyProstheses and Implants/adverse effects
PMID: 16181810
Full text
Article (Published version) (1.6 MB) - public document Free access
Research groups Chirurgie cardio-vasculaire (105)
Imagerie cardio-vasculaire (262)
L'athérosclérose et ses complications cliniques (591)
(ISO format)
CHRISTEN, Thomas et al. Late cardiac tamponade after percutaneous closure of a patent foramen ovale. In: European journal of echocardiography, 2005, vol. 6, n° 6, p. 465-9. doi: 10.1016/j.euje.2005.08.002 https://archive-ouverte.unige.ch/unige:39732

422 hits



Deposited on : 2014-08-25

Export document
Format :
Citation style :