Late cardiac perforation after transcatheter closure of patent foramen ovale mimicking acute type a aortic dissection

Ann Thorac Surg. 2010 May;89(5):1649-51. doi: 10.1016/j.athoracsur.2009.09.079.

Abstract

We report a rare case of late cardiac perforation after percutaneous closure of patent foramen ovale with the Cardia Star device (Cardia, Gent, Belgium), which presented as acute pericardial tamponade and was initially misdiagnosed as acute type A aortic dissection. The clinical course was dramatic in our patient and might have resulted in sudden death without prompt surgical treatment. The clinicians involved in treating a patient with acute, unexplained cardiac tamponade should be aware of late cardiac perforation occurring after percutaneous patent foramen ovale closure.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / etiology
  • Balloon Occlusion / adverse effects*
  • Balloon Occlusion / instrumentation
  • Balloon Occlusion / methods
  • Cardiac Catheterization / methods
  • Cardiac Surgical Procedures / methods
  • Cardiac Tamponade / diagnosis
  • Cardiac Tamponade / etiology
  • Cardiac Tamponade / surgery
  • Critical Illness
  • Device Removal
  • Diagnosis, Differential
  • Echocardiography, Doppler
  • Echocardiography, Transesophageal
  • Emergency Treatment
  • Female
  • Foramen Ovale, Patent / diagnosis
  • Foramen Ovale, Patent / therapy*
  • Heart Injuries / diagnosis
  • Heart Injuries / etiology*
  • Heart Injuries / surgery
  • Humans
  • Risk Assessment
  • Tomography, X-Ray Computed
  • Treatment Outcome