{"id":21283,"date":"2016-05-04T05:47:16","date_gmt":"2016-05-04T00:17:16","guid":{"rendered":"https:\/\/cardiophile.org\/?p=21283"},"modified":"2016-05-04T05:47:16","modified_gmt":"2016-05-04T00:17:16","slug":"deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\/","title":{"rendered":"Deficiency of aortic rim an important risk factor for cardiac erosion with ASD device"},"content":{"rendered":"<h2><span style=\"color: #008000;\">Deficiency of aortic rim an important risk factor for cardiac erosion with ASD device<\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/8UCpY5Opj0o\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><br \/>\nCardiac erosion is a potential nightmare of <a href=\"https:\/\/johnsonfrancis.org\/professional\/device-closure-of-atrial-septal-defect-asd\/\">device closure of atrial septal defect<\/a> (ASD) device closure, though exceedingly rare. A study published in <em>Circulation&nbsp;<\/em>[1] documented 125 erosions over a period of 12 years from a database. Erosions were diagnosed over a median of 14 days after the device closure. Deficiency of aortic rim was found to be almost universal while deficiency of any of the aortic, superior vena caval or inferior vena caval rims were the most important risk factor for cardiac erosion. The study was a case control study with age and sex matched controls. Device oversizing also contributed to the chance for cardiac erosion after ASD device closure. Those who died of the cardiac erosion were more likely to have aortic erosion than the survivors and an oversized device. Though the median period was 14 days, 16 of the 125 erosions were diagnosed after one year. Other factors related to erosion were larger size of the ASD, larger size device size, smaller weight:device size ratio and more than 5 mm difference between ASD size and device size.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>McElhinney DB, Quartermain MD, Kenny D, Alboliras E, Amin Z. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27002094\">Relative Risk Factors for Cardiac Erosion Following Transcatheter Closure of Atrial Septal Defects: A Case-Control Study<\/a>.&nbsp;Circulation.&nbsp;2016; 133: 1738-1746.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Deficiency of aortic rim an important risk factor for cardiac erosion with ASD device Cardiac erosion is a potential nightmare of device closure of atrial septal defect (ASD) device closure, though exceedingly rare. A study published in Circulation&nbsp;[1] documented 125 erosions over a period of 12 years from a database. Erosions were diagnosed over a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":32844,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18,27],"tags":[],"class_list":["post-21283","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions","category-structural-heart-disease-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Deficiency of aortic rim in ASD - risk factor for cardiac erosion<\/title>\n<meta name=\"description\" content=\"Deficiency of aortic rim in ASD is an important risk factor for cardiac erosion in ASD device closure, a potential nightmare of device closure of ASD.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Deficiency of aortic rim in ASD - risk factor for cardiac erosion\" \/>\n<meta property=\"og:description\" content=\"Deficiency of aortic rim in ASD is an important risk factor for cardiac erosion in ASD device closure, a potential nightmare of device closure of ASD.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2016-05-04T00:17:16+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Deficiency of aortic rim an important risk factor for cardiac erosion with ASD device\",\"datePublished\":\"2016-05-04T00:17:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/\"},\"wordCount\":233,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Angiography and Interventions\",\"Structural Heart Disease Interventions\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/deficiency-of-aortic-rim-an-important-risk-factor-for-cardiac-erosion-with-asd-device\\\/\",\"name\":\"Deficiency of aortic rim in ASD - 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