Heart, Lung and Circulation
Volume 19, Issue 1 , Pages 53-55, January 2010

Aorto-Left Atrial Fistula Post-Percutaneous Device ASD Closure

  • W.M. Wilson

      Affiliations

    • Royal Melbourne Hospital, Royal Parade, Parkville 3052, Vic., Australia
    • Corresponding Author InformationCorresponding author at: Department of Cardiology, Royal Melbourne Hospital, Grattan Street, Parkville 3052, Australia. Tel.: +61 3 9342 7133; fax: +613 9347 2808.
    • ,
  • T.H. Goh

      Affiliations

    • Epworth Hospital, Bridge Road, Richmond 3121, Vic., Australia
    • ,
  • E. Oqueli

      Affiliations

    • Epworth Hospital, Bridge Road, Richmond 3121, Vic., Australia
    • ,
  • Y. Willis

      Affiliations

    • Epworth Hospital, Bridge Road, Richmond 3121, Vic., Australia
    • ,
  • C. Chan

      Affiliations

    • Epworth Hospital, Bridge Road, Richmond 3121, Vic., Australia
    • ,
  • P. Skillington

      Affiliations

    • Royal Melbourne Hospital, Royal Parade, Parkville 3052, Vic., Australia
    • ,
  • L.E. Grigg

      Affiliations

    • Royal Melbourne Hospital, Royal Parade, Parkville 3052, Vic., Australia

Received 2 November 2008; received in revised form 29 December 2008; accepted 30 December 2008.

Use of percutaneous devices for closure of atrial septal defects (ASD) continues to increase owing to relative safety and ease of implementation compared with traditional surgical repair. Complications such as perforation and displacement requiring surgical intervention have been reported. We describe a case of perforation with intracardiac fistula formation, with an underlying mechanism likely to be similar to the few cases previously described, occurring during medium term follow up after ASD device closure. Appropriate case selection can reduce the incidence of this complication with caution taken in ASD cases with deficient aortic and superior rims.

Keywords: Atrial septal defect, Device closure, Perforation

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PII: S1443-9506(09)00004-3

doi:10.1016/j.hlc.2008.12.004

Heart, Lung and Circulation
Volume 19, Issue 1 , Pages 53-55, January 2010

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