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KMID : 0364020170500020110
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Korean Journal of Thoracic and Cardiovascular Surgery
2017 Volume.50 No. 2 p.110 ~ p.113
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Delayed Left Atrial Perforation Associated with Erosion After Device Closure of an Atrial Septal Defect
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Kim Ji-Seong
Yeom Sang-Yoon
Kim Sue-Hyun
Choi Jae-Woong
Kim Kyung-Hwan
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Abstract
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A 43-year-old man who had had a history of atrial septal defect (ASD) device closure 31 months previously presented with abrupt chest and back pain along with progressive cardiogenic shock and cardiac arrest. After resuscitation, he was diagnosed with cardiac tamponade. Diagnostic and therapeutic surgical exploration revealed left atrium (LA) perforation due to LA roof erosion from a deficient aortic rim. Device removal, primary repair of the LA perforation site, and ASD patch closure were performed successfully. The postoperative course was uneventful. The patient was discharged after 6 weeks of empirical antibiotic therapy without any other significant complications.
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KEYWORD
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Atrial septal defects, Atrium, Septal occluder device, Cardiac tamponade, Heart atria
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