Never drop your guard down after a trial septal defect closure: A case report

Marco Bergonti, Olga Toscano, Giovanni Teruzzi, Daniela Trabattoni

Research output: Contribution to journalArticlepeer-review


Background Percutaneous atrial septal defect (ASD) closure carries a not negligible burden of complications, such as the erosion of cardiac structures surrounding the device. Complications related to erosion are rare and often occur during the first 6 months after implantation. Case summary A 40-year-old female patient underwent percutaneous ASD closure in 2006. After 12 years of uneventful follow-up, in March 2018, a device dislodgement causing atrial shunting was incidentally discovered and was attributed to device-induced atrial septal erosion. The patient successfully underwent surgical removal of the device and correction of the interatrial defect. Discussion Our purpose is to underline the importance of staged long-term imaging follow-up, even many years after a successful procedure and to highlight the possible risk factors leading to this worrisome condition. In addition, we sought to underline the possible risks associated with deficient aortic rim and explain pros and cons of different approaches.

Original languageEnglish
JournalEuropean Heart Journal - Case Reports
Issue number2
Publication statusPublished - Jan 1 2019


  • Aortic rim
  • Atrial septal defect
  • Atrial septal erosion
  • Case report
  • Device dislodgement
  • Late complications
  • Septal occlude

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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