Transcatheter Closure of Iatrogenic Right Ventricular Perforation With Amplatzer Duct Occlude II

Abstract

Iatrogenic cardiac perforation is a major complication of cardiac intervention. Surgical correction of perforation is standard of care. We discuss a pacing wire induced right ventricular perforation during the coronavirus disease-2019 (COVID-19) pandemic. Open heart surgery was high risk due to age and COVID-related significant lung involvement. As a bailout measure, the perforation was successfully closed with transcatheter intervention. (Level of Difficulty: Advanced.)

Keywords

• Amplatzer duct occluder
• cardiac perforation
• device closure
• pericardial effusion
• transcatheter cardiac intervention