Subacute Endocarditis of an Atrial Septal Closure Device in a Patient With a Patent Foramen Ovale

Krantz, Seth B.; Lawton, Jennifer S.

doi:10.1016/j.athoracsur.2013.12.079

Cited by 9 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We selected seven ASD device follow‐up studies , one meta‐analysis of percutaneous and surgical ASD closure , and two FDA databases . We identified twenty‐one cases of infective endocarditis following atrial septal device closure (Table ). Three studies did not meet the selection criteria (fungal endocarditis following ventricular septal defect hybrid procedure , atrial septal defect presenting with Brucella endocarditis , and patch abcess after surgical closure of an atrial septal defect ).…”

Section: Literature Reviewmentioning

confidence: 99%

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Amedro

Soulatges

Fraisse

2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

We report a case of late infective endocarditis in an 8-year-old boy 3 years after transcatheter closure of an atrial septal defect with the Amplatzer Atrial Septal Occluder Device. Echocardiography showed a very thick pannus lining the left atrial disc of the prosthesis, with some mobile elements. MRI showed several cerebral microemboli. The patient had dental caries and blood cultures found Staphylococcus aureus. Patient was treated with gentamicin and oxacillin before surgical removal of the prosthesis. Twenty-one cases of infective endocarditis after atrial defect device closure have been reported in the literature (13 ostium secundum ASD and 8 patent foramen ovale). Seven pediatric cases were reported. S. aureus was the most frequent bacterium. Antibiotics were administered in all cases and most patients (n = 18) underwent surgical removal of the device. Incomplete endothelialization of the prosthesis was a suggested mechanism. Two patients died after surgery. © 2016 Wiley Periodicals, Inc.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Amedro

Soulatges

Fraisse

2016

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…To our best knowledge, only one case of endocarditis on surgical patch of ventricular septal defect [3] and 17 cases of bacterial endocarditis on percutaneous atrial septal occluder device [4–15] have been reported. In our case, the late onset of the infection occurred at 47-year after surgery, and it suggests that origin of endocarditis of surgical patch closure of atrial septal defects was a hematogenous spread of bacteria during the dental care at 5 months before.…”

Section: Discussionmentioning

confidence: 99%

Late infectious endocarditis of surgical patch closure of atrial septal defects diagnosed by 18F-fluorodeoxyglucose gated cardiac computed tomography (18F-FDG-PET/CT): a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundIn contrast to percutaneous atrial septal occluder device, surgical patch closure of atrial defects was known to be no infective endocarditis risk.Case presentationWe herein report the first case of late endocarditis of surgical patch closure of atrial septal defects occurred at 47-year after surgery. On September 2014, a 56-year-old immunocompetent French Caucasian man was admitted into the Emergency Department for 3-week history of headache, acute decrease of psychomotor performance and fever at 40 °C. The diagnosis has been evoked during his admission for the management of a brain abscess and confirmed using 18F-fluorodeoxyglucose gated cardiac computed tomography (18F-FDG-PET/CT). Bacterial cultures of surgical deep samples of brain abscess were positive for Streptococcus intermedius and Aggregatibacter aphrophilus as identified by the matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) mass spectrometry and confirmed with 16S rRNA gene sequencing. The patient was treated by antibiotics for 8 weeks and surgical patch closure removal.ConclusionsIn summary, late endocarditis on surgical patch and on percutaneous atrial septal occluder device of atrial septal defects is rare. Cardiac imaging by the 18F-fluorodeoxyglucose gated cardiac computed tomography (18F-FDG-PET/CT) could improve the diagnosis and care endocarditis on surgical patch closure of atrial septal defects while transthoracic and transesophageal echocardiography remained difficult to interpret.

show abstract

“…TEE is more sensitive than transthoracic echocardiography in detecting thrombus formation on device surface, a complication mostly observed within the first month after device implantation [ 51 , 52 ]. TEE is also the tool of choice to diagnose the rare but serious infective endocarditis, following PFO closure device implantation, revealing the presence of vegetations on the left or the atrial side of the device [ 53 ]. The erosion of adjacent cardiac structures, including right or left atrial roof and aortic root, and the device embolization, are other possible late complications following percutaneous device closure of PFO, which can be detected by TEE.…”

Section: Percutaneous Closure Of Pfo By Traditional Devicesmentioning

confidence: 99%

Advances in Percutaneous Patent Foramen Ovale Closure: From the Procedure to the Echocardiographic Guidance

Sperlongano

Giordano

Ciccarelli

et al. 2022

JCM

View full text Add to dashboard Cite

Percutaneous patent foramen ovale (PFO) closure by traditional, double disc occluder devices was shown to be safe for patients with PFO, and more effective than prolonged medical therapy in preventing recurrent thromboembolic events. The novel suture-mediated “deviceless” PFO closure system overcomes most of the risks and limitations associated with the traditional PFO occluders, appearing to be feasible in most interatrial septum anatomies, even if data about its long-term effectiveness and safety are still lacking. The aim of the present review was to provide to the reader the state of the art about the traditional and newer techniques of PFO closure, focusing both on the procedural aspects and on the pivotal role of transesophageal echocardiography (TEE) in patient’s selection, peri-procedural guidance, and post-interventional follow-up.

show abstract

Subacute Endocarditis of an Atrial Septal Closure Device in a Patient With a Patent Foramen Ovale

Cited by 9 publications

References 10 publications

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Infective endocarditis after device closure of atrial septal defects: Case report and review of the literature

Late infectious endocarditis of surgical patch closure of atrial septal defects diagnosed by 18F-fluorodeoxyglucose gated cardiac computed tomography (18F-FDG-PET/CT): a case report

Advances in Percutaneous Patent Foramen Ovale Closure: From the Procedure to the Echocardiographic Guidance

Contact Info

Product

Resources

About