{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:18:11Z","timestamp":1792034291410,"version":"4.4.0"},"reference-count":16,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>Infective endocarditis of a fully endothelialized cardiac prosthesis, and especially the late presentation of endocarditis, challenges our current understanding of device-related complications. Late bacterial endocarditis associated with the Amplatzer Septal Occluder, a device frequently used to close atrial septal defects, has been documented only rarely. We report the case of an intravenous drug user who had late infective endocarditis associated with his Amplatzer Septal Occluder, secondary to methicillin-sensitive <jats:italic>Staphylococcus aureus<\/jats:italic> bacteremia nearly 14 years after device insertion. The patient recovered after surgical excision and d\u00e9bridement of the vegetative mass, which may be the first time that a surgical approach has been taken to treat this condition. This report corroborates the need for late screening of high-risk patients who have septal occluder devices.<\/jats:p>","DOI":"10.14503\/thij-18-6903","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T23:30:07Z","timestamp":1611185407000},"page":"311-314","source":"Crossref","is-referenced-by-count":5,"title":["Late Bacterial Endocarditis in an Intravenous Drug User With an Amplatzer Septal Occluder"],"prefix":"10.14503","volume":"47","author":[{"given":"Michael S.","family":"La Sala","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine, Nova Southeastern University, Davie, Florida 33328"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajir","family":"Zohourian","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Graduate Medical Education, Broward Health Medical Center, Fort Lauderdale, Florida 33316"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"McKeown","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Graduate Medical Education, Broward Health Medical Center, Fort Lauderdale, Florida 33316"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Snyder","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Nova Southeastern University, Davie, Florida 33328"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"key":"i1526-6702-47-4-311-b1","series-title":"Med Devices (Auckl)","first-page":"297","article-title":"Current perspectives in percutaneous atrial septal defect closure devices","volume":"8","year":"2015","unstructured":"Bissessor\n              N.\n            \n          \n          Current perspectives in percutaneous atrial septal defect closure devices.\n\t\t\t\t\tMed Devices (Auckl)2015;8:297\u2013303."},{"issue":"11","key":"i1526-6702-47-4-311-b2","series-title":"Can J Cardiol","first-page":"1315.e11","article-title":"Long-term complications after transcatheter atrial septal defect closure: a review of the medical literature","volume":"32","year":"2016","unstructured":"Jalal\n              Z,\n            \n            \n              Hascoet\n              S,\n            \n            \n              Baruteau\n              AE,\n            \n            \n              Iriart\n              X,\n            \n            \n              Kreitmann\n              B,\n            \n            \n              Boudjemline\n              Y,\n            \n            \n              Thambo\n              JB.\n            \n          \n          Long-term complications after transcatheter atrial septal defect closure: a review of the medical literature.\n\t\t\t\t\tCan J Cardiol2016;32(11):1315.e11\u2013e18."},{"issue":"3","key":"i1526-6702-47-4-311-b3","series-title":"Tex Heart Inst J","first-page":"227","article-title":"Endocarditis and incomplete endothelialization 12 years after Amplatzer Septal Occluder deployment","volume":"43","year":"2016","unstructured":"Nguyen\n              AK,\n            \n            \n              Palafox\n              BA,\n            \n            \n              Starr\n              JP,\n            \n            \n              Gates\n              RN,\n            \n            \n              Berdjis\n              F.\n            \n          \n          Endocarditis and incomplete endothelialization 12 years after Amplatzer Septal Occluder deployment.\n\t\t\t\t\tTex Heart Inst J2016;43(3):227\u201331."},{"issue":"4","key":"i1526-6702-47-4-311-b4","series-title":"Cardiol Young","first-page":"808","article-title":"Incomplete endothelialisation of an Amplatzer Septal Occluder device followed by meningitis and late acute bacterial endocarditis","volume":"26","year":"2016","unstructured":"Bialkowski\n              J,\n            \n            \n              Pawlak\n              S,\n            \n            \n              Banaszak\n              P.\n            \n          \n          Incomplete endothelialisation of an Amplatzer Septal Occluder device followed by meningitis and late acute bacterial endocarditis.\n\t\t\t\t\tCardiol Young2016;26(4):808\u201310."},{"issue":"4","key":"i1526-6702-47-4-311-b5","series-title":"Eur J Echocardiogr","first-page":"298","article-title":"Inflammatory, abscess-forming foreign body reaction mimics a thrombus formation on an atrial septal defect closure device: a commented case report","volume":"8","year":"2007","unstructured":"Divchev\n              D,\n            \n            \n              Podewski\n              EK,\n            \n            \n              Mengel\n              M,\n            \n            \n              Meyer\n              GP,\n 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Cardiol1990;66(20):1524\u20136."},{"issue":"2","key":"i1526-6702-47-4-311-b8","series-title":"Indian Heart J","first-page":"128","article-title":"Unconventional uses of septal occluder devices: our experience reviewed","volume":"67","year":"2015","unstructured":"Awasthy\n              N,\n            \n            \n              Tomar\n              M,\n            \n            \n              Radhakrishnan\n              S,\n            \n            \n              Shrivastava\n              S.\n            \n          \n          Unconventional uses of septal occluder devices: our experience reviewed.\n\t\t\t\t\tIndian Heart J2015;67(2):128\u201335."},{"issue":"2","key":"i1526-6702-47-4-311-b9","series-title":"Catheter Cardiovasc Interv","first-page":"324","article-title":"Infective endocarditis after device closure of atrial septal defects: case report and review of the literature","volume":"89","year":"2017","unstructured":"Amedro\n              P,\n            \n            \n  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Vasa2018;60(2):e174\u20138."},{"issue":"4","key":"i1526-6702-47-4-311-b11","series-title":"Indian Heart J","first-page":"450","article-title":"Late bacterial endocarditis of an Amplatzer atrial septal device","volume":"65","year":"2013","unstructured":"Aruni\n              B,\n            \n            \n              Sharifian\n              A,\n            \n            \n              Eryazici\n              P,\n            \n            \n              Herrera\n              CJ.\n            \n          \n          Late bacterial endocarditis of an Amplatzer atrial septal device.\n\t\t\t\t\tIndian Heart J2013;65(4):450\u20131."},{"issue":"2","key":"i1526-6702-47-4-311-b12","series-title":"Am J Cardiol","first-page":"279","article-title":"Late bacterial endocarditis of an Amplatzer atrial septal defect occluder device","volume":"105","year":"2010","unstructured":"Zahr\n              F,\n            \n            \n              Katz\n              WE,\n            \n            \n   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foramen ovale occlusion device.\n\t\t\t\t\tCatheter Cardiovasc Interv1999;47(3):370\u20136."},{"issue":"2","key":"i1526-6702-47-4-311-b14","series-title":"Indian Heart J","first-page":"167","article-title":"Infective endocarditis following implantation of Amplatzer atrial septal occluder","volume":"57","year":"2005","unstructured":"Balasundaram\n              RP,\n            \n            \n              Anandaraja\n              S,\n            \n            \n              Juneja\n              R,\n            \n            \n              Choudhary\n              SK.\n            \n          \n          Infective endocarditis following implantation of Amplatzer atrial septal occluder.\n\t\t\t\t\tIndian Heart J2005;57(2):167\u20139."},{"issue":"5","key":"i1526-6702-47-4-311-b15","series-title":"Ann Thorac Surg","first-page":"1821","article-title":"Subacute endocarditis of an atrial septal closure device in a patient with a patent foramen ovale","volume":"98","year":"2014","unstructured":"Krantz\n              SB,\n            \n            \n              Lawton\n              JS.\n            \n          \n          Subacute endocarditis of an atrial septal closure device in a patient with a patent foramen ovale.\n\t\t\t\t\tAnn Thorac Surg2014;98(5):1821\u20133."},{"issue":"23","key":"i1526-6702-47-4-311-b16","series-title":"Circulation","first-page":"2440","article-title":"2014 AHA\/ACC Guideline for the Management of Patients with Valvular Heart Disease: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines [published erratum appears in Circulation 2014;129(23):e650]","volume":"129","year":"2014","unstructured":"Nishimura\n              RA,\n            \n            \n              Otto\n              CM,\n            \n            \n              Bonow\n              RO,\n            \n            \n              Carabello\n              BA,\n            \n            \n              Erwin\n              JP\n              3rd\n            ,\n\t\t\t\t\t\tGuytonRA,\n          .\n\t\t\t\t\t2014 AHA\/ACC Guideline for the Management of Patients with Valvular Heart Disease: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines [published erratum appears in Circulation 2014;129(23):e650].\n\t\t\t\t\tCirculation2014;129(23):2440\u201392."}],"container-title":["Texas Heart Institute 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