ABSTRACT
Percutaneous occlusion techniques of secundum type atrial septal defects have recently become the treatment of choice, delivering excellent results and being associated with a low rate of early and late complications. The investigators report an unusually delayed presentation of acute right heart failure due to Amplatzer septal device embolisation into the main pulmonary artery, 2 years after implantation.
Subject(s)
Embolization, Therapeutic/adverse effects , Embolization, Therapeutic/instrumentation , Foreign-Body Migration/complications , Heart Failure/etiology , Heart Septal Defects, Atrial/therapy , Pulmonary Artery , Aged , Device Removal , Echocardiography, Transesophageal , Foreign-Body Migration/diagnostic imaging , Heart Septal Defects, Atrial/surgery , Humans , Male , Pulmonary Artery/diagnostic imaging , Time FactorsABSTRACT
A 53-year-old man presented with cardiac tamponade due to direct invasion of left atrium by a large cell neuroendocrine metastatic lung adenocarcinoma. Direct invasion of left atrial cavity by this type of lung tumour is rare. When cardiac involvement is suspected, two-dimensional echocardiography is the first-line diagnostic tool. Computerized tomography and magnetic resonance imaging can provide additional anatomical information and, as in this case, further delineation of the relation between intracavity masses and normal structures, including the mural site of attachment and tumour extension.
