Late tamponade secondary to aortic root perforation by BioSTAR septal closure device.

Cikirikcioglu, Mustafa; Cherian, Sanjay; Lerch, Rene; Licker, Marc-Joseph; Roffi, Marco; Bonvini, Robert F; Kalangos, Afksendiyos · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

We report a patient who presented with pericardial tamponade 9 months after percutaneous closure of a patent foramen ovale using a BioSTAR septal closure device (NMT Medical, Boston, MA). During the operation, bleeding was observed on the posterior aortic root caused by a nonendothelialized strut. The device was explanted, followed by pericardial patch aortoplasty and patch closure of the patent foramen ovale. This report presents a case of late tamponade related to the new-generation bioabsorbable BioSTAR device. Although late complications related with BioSTAR are rare, the presentation may be dramatic. A high index of suspicion and quick intervention is often lifesaving.

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