Very late (>5 years) thrombus formation on an atrial septal defect device: a case report

Sudheer Venkata Bolinera; Srinivas Soma; Sanivarapu Srinivasa Reddy; Vijaya Pamidimukkala; Michael Naronha; Deepti Gali; Vikas Somnath Khamkar; Muralibaburao Rachaputi; Anurag Polavarapu; Naren Polavarapu; Sirichandana Gangasani; Sravanthi Byrapaneni; Meghana Chilukuri; Raghava Sarma Polavarapu

doi:10.18203/2320-6012.ijrms20204923

Authors

Sudheer Venkata Bolinera Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Srinivas Soma Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Sanivarapu Srinivasa Reddy Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Vijaya Pamidimukkala Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Michael Naronha Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Deepti Gali Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Vikas Somnath Khamkar Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Muralibaburao Rachaputi Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Anurag Polavarapu Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Naren Polavarapu Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Sirichandana Gangasani Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Sravanthi Byrapaneni Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Meghana Chilukuri Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India
Raghava Sarma Polavarapu Department of Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20204923

Keywords:

Atrial septal defect, Percutaneous device closure, Thrombus, Late complications

Abstract

Though percutaneous transcatheter atrial septal defect closure with newer generation occluder devices is a standard treatment at present, these devices have significant long-term risks (>1 year) associated with such as thrombus formation. Here, we present a case of 28 year-old patient presented with few symptoms and had a history of ASD device closure using amplatzer septal occluder device five years back. The patient was found to have a large thrombus (30×33 mm) attached to the device which was managed using anticoagulants and patients was advised for regular echocardiographic follow-up.

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