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Percutaneous closure of accidental left atrium puncture

dc.contributor.authorMendes, Gustavo Sá
dc.contributor.authorDe Araújo Gonçalves, Pedro
dc.contributor.authorMadeira, Sérgio
dc.contributor.authorOliveira, Paulo
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblOxford University Press
dc.date.accessioned2021-02-24T23:41:13Z
dc.date.available2021-02-24T23:41:13Z
dc.date.issued2021
dc.description.abstractBackground Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture closed with a plug-based vascular closure device (VCD). Case summary During a palliative right-sided thoracentesis on a 73-year-old woman, with end-stage heart failure due to rheumatic valvular heart disease, an accidental puncture and insertion of a central venous catheter into an aneurysmatic LA occurred. This complication was successfully managed percutaneously, under transthoracic echocardiographic guidance, after cardiac computed tomography planning, using a plug-based VCD. Discussion This case demonstrates the possible utility of plug-based devices for iatrogenic LA perforation closure, when surgical risk is deemed prohibitive.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent5
dc.format.extent456127
dc.identifier.doi10.1093/EHJCR/YTAA194
dc.identifier.issn2514-2119
dc.identifier.otherPURE: 28290210
dc.identifier.otherPURE UUID: 54dc4a08-88d6-479a-8995-8376cec059f4
dc.identifier.otherScopus: 85100763119
dc.identifier.otherWOS: 000646033200018
dc.identifier.urihttp://hdl.handle.net/10362/112453
dc.identifier.urlhttps://www.scopus.com/pages/publications/85100763119
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCase report
dc.subjectLeft atrium puncture
dc.subjectThoracentesis
dc.subjectVascular closure device
dc.subjectCardiology and Cardiovascular Medicine
dc.titlePercutaneous closure of accidental left atrium punctureen
dc.title.subtitleA case reporten
dc.typejournal article
degois.publication.firstPage1
degois.publication.issue5
degois.publication.lastPage5
degois.publication.titleEuropean Heart Journal - Case Reports
degois.publication.volume4
dspace.entity.typePublication
rcaap.rightsopenAccess

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