Surgical treatment of a left atrial rupture during transcatheter atrial septal defect closure: a case study

Hasan Uncu,

doi:10.5606/tgkdc.dergisi.2013.5460

Hasan Uncu¹, Mehmet Acıpayam¹, Onur Kadir Uysal², Faruk Başdoğan¹, İbrahim Özsöyler¹

¹Department of Cardiovascular Surgery, Adana Numune Training and Research Hospital, Adana, Turkey
²Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5460

In this article, we report a 37-year-old male case who underwent an emergency surgery of injured left atrium by transcatheteral closure of atrial septal defect (ASD). The patient underwent an urgent surgery when he developed tamponade during the transcatheteral closure of the secundum ASD at the coronary angiography laboratory. After median sternotomy, pericardium was opened. The exploration revealed ruptured left atrial roof and active bleeding at this region. One centimeter diameter ruptured left atrial ceiling was primarily closed by 4/0 prolene, followed by the primary closure of the secundum ASD. Postoperative period was uneventful and the patient was discharged on the fifth postoperative day.

Keywords : Atrial rupture; atrial septal defect; emergency surgery; percutaneous atrial septal defect closure

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