A Life-Saving Case of Cardiopulmonary Arrest with Cardiac Tamponade Caused by Erosion 6 Years After Percutaneous Atrial Septal Defect Closure: A Case Report
Abstract Background: Cardiac erosion after percutaneous atrial septal defect (ASD) closure is a rare complication that requires immediate life-saving emergency surgery. In this report, we present our successful life-saving strategy for cardiac arrest due to cardiac tamponade caused by erosion 6 years after the percutaneous closure of an ASD.Case presentation:. The patient was a 50-year-old man who received Amplatzer septal occlude (St. Jude Medical, St Paul, MN, USA) treatment for ostium secundum atrial septal defect (size: 29.5 × 27.0 mm) at another institution when he was 44 years old. Conclusion: The key point of this case was a bailout surgical strategy for patients who were hemodynamically unstable with risks of coagulopathy and multiple organ failure. This case suggests that cardiac surgeons need to be aware of the complications of percutaneous ASD closure and consider a bailout surgical strategy for patients at risk of multiple organ failure.