Two cases of pericardial tamponade due to nitinol wire fracture of a gore septal occluder

Catheter Cardiovasc Interv. 2020 Jul;96(1):219-224. doi: 10.1002/ccd.28596. Epub 2019 Nov 7.

Abstract

Percutaneous patent foramen ovale (PFO) closure is recommended for secondary prevention of paradoxical embolism through a PFO. In the United States, two Food and Drug Administration-approved PFO closure devices are currently available, and the choice depends on operator preference and PFO anatomy. Although these devices are easy to implant, there are several potential complications. As opposed to the Amplatzer PFO Occluder, there has been no published case of atrial erosion with Gore closure devices. This report describes two cases of pericardial tamponade due to perforation of the atrial wall induced by a wire frame fracture of the Gore Helex and Cardioform devices.

Keywords: ASD/PDA/PFO; CLAS-closure; CONA-congential heart disease, adults; PERI-pericardium; SHDI-structural heart disease intervention.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation*
  • Cardiac Tamponade / diagnostic imaging
  • Cardiac Tamponade / etiology*
  • Cardiac Tamponade / surgery
  • Device Removal
  • Female
  • Foramen Ovale, Patent / complications
  • Foramen Ovale, Patent / diagnostic imaging
  • Foramen Ovale, Patent / therapy*
  • Heart Atria / diagnostic imaging
  • Heart Atria / injuries*
  • Heart Atria / surgery
  • Heart Injuries / diagnostic imaging
  • Heart Injuries / etiology*
  • Heart Injuries / surgery
  • Humans
  • Middle Aged
  • Prosthesis Design
  • Prosthesis Failure*
  • Septal Occluder Device*
  • Treatment Outcome