Percutaneous closure of accidental left atrium puncture: a case report

Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture close...

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Published inEuropean heart journal : case reports Vol. 4; no. 5; pp. 1 - 5
Main Authors Sá Mendes, Gustavo, De Araújo Gonçalves, Pedro, Madeira, Sérgio, Oliveira, Paulo
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.10.2020
Subjects
Case Reports
Case report
Vascular closure device
Thoracentesis
Left atrium puncture
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Summary:Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture closed with a plug-based vascular closure device (VCD). During a palliative right-sided thoracentesis on a 73-year-old woman, with end-stage heart failure due to rheumatic valvular heart disease, an accidental puncture and insertion of a central venous catheter into an aneurysmatic LA occurred. This complication was successfully managed percutaneously, under transthoracic echocardiographic guidance, after cardiac computed tomography planning, using a plug-based VCD. This case demonstrates the possible utility of plug-based devices for iatrogenic LA perforation closure, when surgical risk is deemed prohibitive.
ISSN:2514-2119
2514-2119
DOI:10.1093/ehjcr/ytaa194