ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical treatment of a left atrial rupture during transcatheter atrial septal defect closure: a case study
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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