{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T17:08:03Z","timestamp":1776791283411,"version":"3.51.2"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81770456"],"award-info":[{"award-number":["81770456"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it\u2019s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3\u2009months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-021-01441-x","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T10:03:04Z","timestamp":1616666584000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report"],"prefix":"10.1186","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9489-8170","authenticated-orcid":false,"given":"Zai-Qiang","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia-Wang","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"1441_CR1","doi-asserted-by":"publisher","unstructured":"Baumgartner H, De Backer J, Babu-Narayan SV, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. Eur Heart J. 2021;42(6):563-645. https:\/\/doi.org\/10.1093\/eurheartj\/ehaa554.","DOI":"10.1093\/eurheartj\/ehaa554"},{"issue":"2","key":"1441_CR2","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1002\/ccd.24347","volume":"80","author":"GB Crawford","year":"2012","unstructured":"Crawford GB, Brindis RG, Krucoff MW, Mansalis BP, Carroll JD. Percutaneous atrial septal occluder devices and cardiac erosion: a review of the literature. Catheter Cardiovasc Interv. 2012;80(2):157\u201367. https:\/\/doi.org\/10.1002\/ccd.24347.","journal-title":"Catheter Cardiovasc Interv"},{"key":"1441_CR3","doi-asserted-by":"publisher","unstructured":"Turner DR, Owada CY, Sang CJ Jr, Khan M, Lim DS. Closure of Secundum Atrial Septal Defects With the AMPLATZER Septal Occluder: a Prospective, Multicenter, Post-Approval Study. Circ Cardiovasc Interv. 2017;10(8):e004212. https:\/\/doi.org\/10.1161\/CIRCINTERVENTIONS.116.004212.","DOI":"10.1161\/CIRCINTERVENTIONS.116.004212"},{"issue":"2","key":"1441_CR4","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1002\/ccd.27899","volume":"93","author":"D Kenny","year":"2019","unstructured":"Kenny D, Eicken A, D\u00e4hnert I, Boudjemline Y, Sievert H, Schneider MB, et al. A randomized, controlled, multi-center trial of the efficacy and safety of the Occlutech Figulla flex-II Occluder compared to the Amplatzer Septal Occluder for transcatheter closure of secundum atrial septal defects. Catheter Cardiovasc Interv. 2019;93(2):316\u201321. https:\/\/doi.org\/10.1002\/ccd.27899.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"2","key":"1441_CR5","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1002\/ccd.24517","volume":"80","author":"K Diab","year":"2012","unstructured":"Diab K, Kenny D, Hijazi ZM. Erosions, erosions, and erosions! Device closure of atrial septal defects: how safe is safe. Catheter Cardiovasc Interv. 2012;80(2):168\u201374. https:\/\/doi.org\/10.1002\/ccd.24517.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"7","key":"1441_CR6","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1002\/ccd.21931","volume":"73","author":"HG El-Said","year":"2009","unstructured":"El-Said HG, Moore JW. Erosion by the Amplatzer septal occluder: experienced operator opinions at odds with manufacturer recommendations. Catheter Cardiovasc Interv. 2009;73(7):925\u201330. https:\/\/doi.org\/10.1002\/ccd.21931.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"2","key":"1441_CR7","first-page":"104","volume":"51","author":"PS Dardas","year":"2010","unstructured":"Dardas PS, Ninios VN, Mezilis NE, Tsikaderis DD, Thanopoulos VD. Percutaneous closure of atrial septal defects: immediate and mid-term results. Hell J Cardiol. 2010;51(2):104\u201312.","journal-title":"Hell J Cardiol"},{"issue":"4","key":"1441_CR8","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1002\/ccd.26497","volume":"88","author":"NA Haas","year":"2016","unstructured":"Haas NA, Soetemann DB, Ates I, Baspinar O, Ditkivskyy I, Duke C, et al. Closure of Secundum atrial Septal defects by using the Occlutech Occluder devices in more than 1300 patients: the IRFACODE project: a retrospective case series. Catheter Cardiovasc Interv. 2016;88(4):571\u201381. https:\/\/doi.org\/10.1002\/ccd.26497.","journal-title":"Catheter Cardiovasc Interv"},{"issue":"2","key":"1441_CR9","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1159\/000496348","volume":"142","author":"KD Boudoulas","year":"2019","unstructured":"Boudoulas KD, Marmagkiolis K, Boudoulas H. Atrial Septal defect sizing and Transcatheter closure. Cardiology. 2019;142(2):105\u20138. https:\/\/doi.org\/10.1159\/000496348.","journal-title":"Cardiology."}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-021-01441-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13019-021-01441-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-021-01441-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T10:10:11Z","timestamp":1616667011000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-021-01441-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,25]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1441"],"URL":"https:\/\/doi.org\/10.1186\/s13019-021-01441-x","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-92127\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,25]]},"assertion":[{"value":"8 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The ethics committee of the First College of Clinical Medical Science, China Three Gorges University approved the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication is obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"53"}}