Chylothorax Associated With Tricuspid Dysplasia and Atrial Septal Defect in a Bullmastiff

2009 ◽  
Vol 45 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Alessia Diana ◽  
Carlo Guglielmini ◽  
Fabio Acocella ◽  
Flavio Valerio ◽  
Mario Cipone

Transudate pleural effusion associated with tricuspid dysplasia and ostium secundum-type atrial septal defect was diagnosed in a 14-month-old bullmastiff. Following administration of furosemide and an angiotensin-converting enzyme (ACE) inhibitor, the dog remained free of pleural effusion for 10 months, until he showed severe dyspnea due to chylothorax. Medical therapy was unsuccessful to avoid recurrence of life-threatening pleural chylous effusion. Ligation of the thoracic duct and apposition of an omental pedicle flap were effective in the resolution of pleural chylous leakage.

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zai-Qiang Zhang ◽  
Jia-Wang Ding

Abstract Background While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it’s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976. Case presentation We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition. Conclusions With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.


2014 ◽  
Vol 176 (3) ◽  
pp. e92-e93
Author(s):  
Benoît Berthoud ◽  
Pierre-Vladimir Ennezat ◽  
Raphaëlle-Ashley Guerbaai ◽  
Geraldine Dessertaine ◽  
Stéphanie Douchin ◽  
...  

2001 ◽  
Vol 11 (2) ◽  
pp. 233-235 ◽  
Author(s):  
Fátima F. Pinto ◽  
Lídia Sousa ◽  
José Fragata

Cardiac tamponade occurring late after interventional closure of defects within the oval fossa is a very rare but life-threatening complication. We describe such an occurrence after use of a Cardioseal device to close an interatrial communication. Two arms of the device had perforated left atrial wall. The device was removed at surgery, and the defect closed uneventfully. All available means should be used to identify this complication.


2019 ◽  
Vol 26 (3) ◽  
pp. 300-301
Author(s):  
Giusy Sirico ◽  
Andrea Montisci ◽  
Domenico Sirico ◽  
Alfonso Ielasi ◽  
Michele Criscuolo ◽  
...  

2017 ◽  
Vol 02 (S 01) ◽  
pp. S4-S6
Author(s):  
Praveen Dontineni ◽  
Ramesh Mishra ◽  
Amaresh Malempati

AbstractWith the introduction of technological improvements, invasive cardiologic interventions have become increasingly used alternatives to surgery. Despite its numerous benefits, serious and potentially life-threatening complications of invasive cardiology interventions may occur. Atrial septal defect is usually closed in the cardiac catheterisation laboratory using atrial septal occluder (ASO) device. One of the complications associated with the procedure is dislodgement of the device. We present a case of percutaneous trans catheter closure of an ostium secundum atrial septal defect in a 21 years old female, complicated by device dislodgement to the left atrium necessitating emergency surgical retrieval.


2012 ◽  
Vol 26 (4) ◽  
pp. 382-388 ◽  
Author(s):  
Johanna L. Norman ◽  
Whitney L. Holmes ◽  
William A. Bell ◽  
Shannon W. Finks

Angiotensin-converting enzyme inhibitors (ACE-Is) are the primary medication class implicated in drug-associated angioedema. Angioedema is most common early in ACE-I therapy, yet episodes can occur late in therapy and have been reported even as late as 10 years after single treatment initiation. We present a case of a 65-year-old African American woman who experienced 2 episodes of angioedema, with the second being life threatening after receiving several concomitant agents known to cause angioedema, most notably lisinopril for 11 years.


2017 ◽  
Vol 33 (2) ◽  
pp. 293.e1-293.e2 ◽  
Author(s):  
Giancarlo Scognamiglio ◽  
Rosaria Barracano ◽  
Diego Colonna ◽  
Agostino Mattera Iacono ◽  
Giuseppe Santoro ◽  
...  

2007 ◽  
Vol 15 (5) ◽  
pp. 435-437
Author(s):  
Hee-Hwa Ho ◽  
Elaine Chau ◽  
Alex Chiu ◽  
On-Hing Kwok

A case of a lady referred for repair of an atrial septal defect is described. She presented with an insidious onset of recurrent ascites and pleural effusion. Cardiac catheterization showed constrictive physiology. The patient subsequently underwent surgical closure of the atrial septal defect and pericardiectomy


2020 ◽  
Author(s):  
Zaiqiang Zhang ◽  
Jia-Wang Ding

Abstract Background: While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it's life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.Case presentation: We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.Conclusions: With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.


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