{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:29:45Z","timestamp":1786649385250,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Transcatheter closure of atrial septal defect (ASD) is the preferred modality of treatment. Pericardial effusion occurring late after ASD device closure is extremely rare, and device-related erosion is the most likely possibility. We describe a 41-year-old male who underwent ASD device closure with a 32-mm Amplatzer Septal Occluder device and who developed cardiac tamponade 6 months after the procedure. Extensive investigations did not reveal any evidence of erosion. Given the endemicity of tuberculosis in India, exudative pericardial effusion, a positive tuberculin skin test, and the presence of a few matted mediastinal lymph nodes, the patient was started on antitubercular therapy. There was no reaccumulation of pericardial fluid at subsequent follow-ups. To conclude, not all hemorrhagic pericardial effusions following device closure of ASD are secondary to erosions. After ruling out device erosion, other etiologies for pericardial effusion should be carefully searched for.<\/jats:p>","DOI":"10.4103\/apc.apc_216_24","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T08:00:11Z","timestamp":1752480011000},"page":"53-56","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Hemorrhagic pericardial effusion 6 months following atrial septal defect device closure: Has it eroded?"],"prefix":"10.4103","volume":"18","author":[{"given":"Alaina","family":"Zameer","sequence":"first","affiliation":[{"name":"Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chetan","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamk","family":"Kadiyani","sequence":"additional","affiliation":[{"name":"Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Damandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivam","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sivasubramanian","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"R1-20260421","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/s13019-021-01441-x","article-title":"Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an atriasept occluder: A case report","volume":"16","author":"Zhang","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"R2-20260421","first-page":"1315.e11","article-title":"Long-term complications after transcatheter atrial septal defect closure: A review of the medical literature","volume":"32","author":"Jalal","year":"2016","journal-title":"Can J Cardiol"},{"key":"R3-20260421","first-page":"157","article-title":"Percutaneous atrial septal occluder devices and cardiac erosion: A review of the literature","volume":"80","author":"Crawford","year":"2012","journal-title":"Catheter Cardiovasc Interv"},{"key":"R4-20260421","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1161\/CIRCULATIONAHA.115.019987","article-title":"Relative risk factors for cardiac erosion following transcatheter closure of atrial septal defects: A case-control study","volume":"133","author":"McElhinney","year":"2016","journal-title":"Circulation"},{"key":"R5-20260421","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s00246-012-0323-7","article-title":"Recent changes in instructions for use for the Amplatzer atrial septal defect occluder: How to incorporate these changes while using transesophageal echocardiography or intracardiac echocardiography?","volume":"33","author":"Mallula","year":"2012","journal-title":"Pediatr Cardiol"},{"key":"R6-20260421","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1159\/000496348","article-title":"Atrial septal defect sizing and transcatheter closure","volume":"142","author":"Boudoulas","year":"2019","journal-title":"Cardiology"},{"key":"R7-20260421","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.2214\/ajr.184.4.01841172","article-title":"Persistent foreign body reaction around inguinal mesh prostheses: A potential pitfall of FDG PET","volume":"184","author":"Aide","year":"2005","journal-title":"Am J Roentgenol"},{"key":"R8-20260421","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1159\/000070045","article-title":"Mesh implants in hernia repair. Inflammatory cell response in a rat model","volume":"35","author":"Rosch","year":"2003","journal-title":"Eur Surg Res"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_216_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:27Z","timestamp":1786647207000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_216_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_216_24","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-11-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}