Open AccessLate Infective Endocarditis Associated with an Atrial Septal Defect Occluder Device
Author(s) -
Ana Maria Mejía Sanjuelo Ana Maria Mejía Sanjuelo,
Maria Carolina Manzur Barbur Maria Carolina Manzur Barbur,
María Cristina MartínezÁvila,
Juan Camilo García Dominguez Juan Camilo García Dominguez
Publication year - 2022
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2022_003238
Subject(s) - medicine , septum secundum , endocarditis , percutaneous , infective endocarditis , cardiology , complication , heart septal defect , intensive care unit , sepsis , surgery
The Amplatzer septal occluder is one of several percutaneous devices used for the closure of secundum atrial septal defects. The main complications are related to the procedure, with infection being the least common. We present the case of a 67-year-old woman with a secundum atrial septal defect, who, 3 years after repair with an Amplatzer occluder, was admitted with sepsis and bacteraemia following recent hospitalization in an intensive care unit. Transoesophageal echocardiography showed the presence of a mobile echogenic structure in the left atrium suggestive of a vegetation. Few cases of late endocarditis involving the Amplatzer device have been reported, even though partial endothelization is one of the risk factors. There are no guidelines for the prevention, diagnosis or management of this complication.