Severe allergic dermatitis after closure of foramen ovale with Amplatzer occluder

Ann Thorac Surg. 2013 Sep;96(3):e57-9. doi: 10.1016/j.athoracsur.2013.01.079.

Abstract

Allergic reaction to nitinol is rarely reported, and its incidence, symptoms, and course have not been clearly defined. We report an occurrence of severe progressive generalized exanthema 3 days after the implantation of an Amplatzer occluder for a patent foramen ovale, with symptoms disappearing immediately after surgical removal of the device 3 months later. The risks and possible prevention of allergic reaction to nickel and especially to titanium are discussed.

Keywords: 21.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Alloys / adverse effects*
  • Cardiac Catheterization / methods
  • Dermatitis, Allergic Contact / etiology*
  • Dermatitis, Allergic Contact / physiopathology
  • Device Removal / methods*
  • Equipment Failure
  • Female
  • Follow-Up Studies
  • Foramen Ovale, Patent / diagnostic imaging
  • Foramen Ovale, Patent / therapy*
  • Humans
  • Rare Diseases
  • Septal Occluder Device / adverse effects*
  • Severity of Illness Index
  • Treatment Outcome
  • Ultrasonography

Substances

  • Alloys
  • nitinol