{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T23:06:25Z","timestamp":1769382385420,"version":"3.49.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cardiac perforation is a rare but life-threatening complication of transcatheter cardiac procedures, particularly in children where tissue fragility increases risk. We present a rare case of iatrogenic right ventricular perforation during transcatheter ventricular septal defect closure in a pediatric patient. During the procedure, inadvertent withdrawal of the Terumo guidewire caused perforation of the right ventricular apex, leading to cardiac tamponade and cardiopulmonary arrest. Emergency pericardiocentesis with pigtail catheter placement and autotransfusion restored hemodynamic stability, after which transcatheter repair was selected over surgical intervention due to the patient\u2019s critical condition. An 8\u00a0mm Shanghai Shape Memory Alloy occluder was successfully deployed to seal the perforation, resulting in complete hemostasis and a stable recovery. This case highlights that transcatheter device closure can serve as a life-saving alternative to emergent surgery for iatrogenic cardiac perforations in children, offering a minimally invasive solution in high-risk scenarios.<\/jats:p>","DOI":"10.1093\/omcr\/omaf287","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:11:27Z","timestamp":1764767487000},"source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous device closure of iatrogenic right ventricular perforation during attempted ventricular septal defect closure: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-9852","authenticated-orcid":false,"given":"Muhammad Raza","family":"Sarfraz","sequence":"first","affiliation":[{"name":"Department of Medicine and Surgery, Allied Hospital, Faisalabad Medical University , Sargodha Road, Faisalabad 38000, Punjab ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saqlain","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Medicine, PNS Shifa Hospital , Main Korangi Road, Clifton, Karachi 75600, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadeem","family":"Sadiq","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, PNS Shifa Hospital , Main Korangi Road, Clifton, Karachi 75600, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumna","family":"Shariff","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Aga Khan University Hospital , Stadium Road, P.O. Box 3500, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Aga Khan University Hospital , Stadium Road, P.O. Box 3500, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Waqar","sequence":"additional","affiliation":[{"name":"Department of Medicine, PNS Shifa Hospital , Main Korangi Road, Clifton, Karachi 75600, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohab","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Medicine, Aga Khan University Hospital , Stadium Road, P.O. Box 3500, Karachi 74800, Sindh ,","place":["Pakistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8208-0689","authenticated-orcid":false,"given":"Kamil Ahmad","family":"Kamil","sequence":"additional","affiliation":[{"name":"Medical Faculty, Malalay Institute of Higher Education , 2nd Aino Mina, East, 28th Sub-Street, Kandahar 3802 ,","place":["Afghanistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,25]]},"reference":[{"key":"2026012509585082000_ref1","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1002\/ccd.1810320202","article-title":"Myocardial perforation in the cardiac catheterization laboratory: incidence, presentation, diagnosis, and management","volume":"32","author":"Friedrich","year":"1994","journal-title":"Catheter Cardiovasc Diagn"},{"key":"2026012509585082000_ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ehjcr\/ytaa258","article-title":"Percutaneous closure of an iatrogenic right ventricular perforation with an angio-seal vascular closure device: a case report","volume":"4","author":"Coughlan","year":"2020","journal-title":"Eur Heart J Case Rep"},{"key":"2026012509585082000_ref3","doi-asserted-by":"publisher","first-page":"euw074","DOI":"10.1093\/europace\/euw074","article-title":"Diagnosis and management of iatrogenic cardiac perforation caused by pacemaker and defibrillator leads","volume":"19","author":"Rajkumar","year":"2017","journal-title":"Europace"},{"key":"2026012509585082000_ref4","doi-asserted-by":"publisher","first-page":"5288","DOI":"10.21037\/jtd.2017.10.113","article-title":"Perforation of myocardial wall and great vessels after cardiovascular interventions: a 5-year analysis","volume":"9","author":"Provaznik","year":"2017","journal-title":"J Thorac Dis"},{"key":"2026012509585082000_ref5","doi-asserted-by":"publisher","first-page":"346","DOI":"10.21037\/acs-2021-ami-22","article-title":"Managing and repairing ventricular free-wall rupture: the triple-patch technique","volume":"11","author":"Lorusso","year":"2022","journal-title":"Ann Cardiothorac Surg"},{"key":"2026012509585082000_ref6","doi-asserted-by":"publisher","first-page":"53","DOI":"10.4103\/0974-2069.149520","article-title":"Management of iatrogenic RV injury\u2014RV packing and CPB through PTFE graft attached to femoral artery","volume":"8","author":"Mangukia","year":"2015","journal-title":"Ann Pediatr Cardiol"},{"key":"2026012509585082000_ref7","doi-asserted-by":"publisher","first-page":"38","DOI":"10.4103\/apc.APC_146_17","article-title":"Outcome of pediatric cardiac surgery and predictors of major complication in a developing country","volume":"12","author":"Murni","year":"2019","journal-title":"Ann Pediatr Cardiol"},{"key":"2026012509585082000_ref8","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1017\/S1047951121002481","article-title":"Iatrogenic perforation of atrial appendage and successful closure with Amplatzer piccolo Occluder in a 1-year-old patient","volume":"32","author":"Temel","year":"2022","journal-title":"Cardiol Young"},{"key":"2026012509585082000_ref9","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/j.jcin.2009.12.007","article-title":"Indications and outcomes of surgical closure of ventricular septal defect in adults","volume":"3","author":"Mongeon","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"key":"2026012509585082000_ref10","doi-asserted-by":"publisher","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int J Surg"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2026\/1\/omaf287\/66569195\/omaf287.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2026\/1\/omaf287\/66569195\/omaf287.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T14:59:00Z","timestamp":1769353140000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf287\/8440720"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,24]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf287","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1]]},"published":{"date-parts":[[2026,1]]},"article-number":"omaf287"}}