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Ann Thorac Surg 2006;81:2312-2313
© 2006 The Society of Thoracic Surgeons

Case report

Early Cardiac Perforation After Atrial Septal Defect Closure With the Amplatzer Septal Occluder

Hans-Henning Sauer, MD a , * , Kalliopi Ntalakoura, MD a , Christoph Haun, MD a , Trong-Phi Le, MD b , Viktor Hraska, MD, PhD a

a Department of Pediatric Cardiac Surgery, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany
b Department of Pediatric Cardiology, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany

Accepted for publication August 15, 2005.

* Address correspondence to Dr Sauer, Department of Pediatric Cardiac Surgery, Eppendorf University Hospital, Martinistrasse 52, 20246 Hamburg, Germany (Email: h.sauer{at}uke.uni-hamburg.de).

We report a case of aortic perforation after transcatheter closure of an atrial septal defect by an Amplatzer septal occluder. During emergency surgery, perforations of the dome of the right atrium and the noncoronary sinus of Valsalva of the aorta were repaired. Atrial septal defect was primarily closed. A short anterosuperior rim should be considered a risk factor for aortic perforation in transcatheter atrial septal defect closure.






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