Amplatzer septal occluder associated with late pulmonary venous obstruction requiring surgical removal with acquired aorta to left atrial fistula

Nasser Moiduddin; John P Cheatham; Timothy M Hoffman; Alistair B Phillips; John P Kovalchin

doi:10.1016/j.amjcard.2008.11.057

Amplatzer septal occluder associated with late pulmonary venous obstruction requiring surgical removal with acquired aorta to left atrial fistula

Am J Cardiol. 2009 Apr 1;103(7):1039-40. doi: 10.1016/j.amjcard.2008.11.057. Epub 2009 Feb 7.

Authors

Nasser Moiduddin¹, John P Cheatham, Timothy M Hoffman, Alistair B Phillips, John P Kovalchin

Affiliation

¹ Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.

PMID: 19327438
DOI: 10.1016/j.amjcard.2008.11.057

Abstract

The Amplatzer septal occluder is currently the preferred device for the transcatheter closure of secundum atrial septal defects. Multiple studies have shown that device complications with the Amplatzer occluder are rare and often acute in presentation. The investigators describe the first reported case of late obstruction of the right pulmonary veins with an Amplatzer septal occluder and, in the same patient, an unusual intraoperative finding of a noncoronary aortic sinus to left atrium fistula after device removal.

Publication types

Case Reports

MeSH terms

Angiography
Cardiac Catheterization
Child, Preschool
Device Removal / methods
Echocardiography
Embolization, Therapeutic / adverse effects*
Embolization, Therapeutic / instrumentation
Female
Follow-Up Studies
Heart Atria*
Heart Septal Defects, Atrial / surgery*
Humans
Pulmonary Atresia / surgery*
Pulmonary Veno-Occlusive Disease / diagnosis
Pulmonary Veno-Occlusive Disease / etiology*
Pulmonary Veno-Occlusive Disease / surgery
Sinus of Valsalva*
Tomography, X-Ray Computed
Vascular Fistula / diagnosis
Vascular Fistula / etiology*
Vascular Fistula / surgery