Percutaneous closure of accidental left atrium puncture: A case report

Gustavo Sá Mendes, Pedro De Araújo Gonçalves, Sérgio Madeira, Paulo Oliveira

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Background Minimally invasive alternatives to surgical closure of cardiac perforations are a recognized need, especially in critically ill patients in whom predicted surgical mortality is prohibitive. To the best of our knowledge, this is the first reported case of an iatrogenic left atrium (LA) puncture closed with a plug-based vascular closure device (VCD). Case summary During a palliative right-sided thoracentesis on a 73-year-old woman, with end-stage heart failure due to rheumatic valvular heart disease, an accidental puncture and insertion of a central venous catheter into an aneurysmatic LA occurred. This complication was successfully managed percutaneously, under transthoracic echocardiographic guidance, after cardiac computed tomography planning, using a plug-based VCD. Discussion This case demonstrates the possible utility of plug-based devices for iatrogenic LA perforation closure, when surgical risk is deemed prohibitive.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalEuropean Heart Journal - Case Reports
Issue number5
Publication statusPublished - 2021


  • Case report
  • Left atrium puncture
  • Thoracentesis
  • Vascular closure device


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