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Title

Late cardiac tamponade after percutaneous closure of a patent foramen ovale
Authors
Christen, Thomas
Mach, François
Didier, Dominique
Kalangos, Afksendiyos
Verine, Vitali
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 Adult — Cardiac Surgical Procedures/adverse effects/instrumentation — Cardiac Tamponade/etiology/ultrasonography — Echocardiography, Transesophageal — Follow-Up Studies — Heart Septal Defects, Atrial/surgery/ultrasonography — Humans — Male — Pericardial Effusion/etiology/ultrasonography — Prostheses and Implants/adverse effects
Identifiers
PMID: 16181810
Full text
Article (Published version) (1.6 MB) - public document Free access
Structures
Faculté de médecine / Section de médecine clinique / Département de médecine
Faculté de médecine / Section de médecine clinique / Département de chirurgie
Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale
Research groups Chirurgie cardio-vasculaire (105)
L'athérosclérose et ses complications cliniques (591)
Imagerie cardio-vasculaire (262)
Citation
(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

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Deposited on : 2014-08-25

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