Late endocarditis of Amplatzer atrial septal occluder device in a child

作     者：Neerod K Jha Laszlo Kiraly John SK Murala Csaba Tamas Haitham Talo Hazem El Badaoui Magdi Tofeig Malaika Mendonca Sameer Sajwani Mary A Thomas Sura Ahmed Al Doory Mohammad D Khan 

作者机构：Department of Pediatric Cardiac Surgery Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Pediatric Cardiology Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Critical Care Sheikh Khalifa Medical City (managed by Cleveland Clinic) Department of Cardiology Latifa Hospital Department of Pathology Sheikh Khalifa Medical City (managed by Cleveland Clinic) 

出 版 物：《World Journal of Cardiology》 (世界心脏病学杂志（英文版）（电子版）)

年 卷 期：2015年第7卷第10期

页      面：703-706页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Endocarditis Atrial Septal Device 

摘      要：Bacterial endocarditis following atrial septal defect closure using Amplatzer device in a child is extremely rare. We report a 10-year-old girl who developed late bacterial endocarditis, 6 years after placement of an Amplatzer atrial septal occluder device. Successful explantation of the device and repair of the resultant septal defect was carried out using a homograft patch. The rare occurrence of this entity prompted us to highlight the importance of a closed long-term follow up, review the management and explore preventive strategies for similar patients who have multiple co-morbidities and a cardiac device. A high index of suspicion is warranted particularly in pediatric patients.