Aorta to Left Atrial Fistula Following Transcatheter Closure of Atrial Septal Defect

Surgical repair is the gold standard for treatment of a secundum type of atrial septal defect (ASD). Recently major advances have been made in device closure of ASDs. Although percutaneous transcatheter ASD closure provides superior cosmetics it is not completely risk free. In this article we have reported a late fistula formation between aorta and left atrium following transcatheter closure of secundum type ASD. Review of similar complications shows that lifelong follow-up of patients whose ASD is closed by devices seems mandatory to detect potentially serious late device-related complications.