Retrograde aortic perfusion dislodges a dislodged Amplatzer device

Luqman, Zubair; Ansari, Junaid; Ullah, Hameed; Amanullah, Mohammad

doi:10.1016/j.jtcvs.2007.10.050

Cited by 2 publications

(2 citation statements)

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“…Berdat et al reviewed their surgical experiences with embolized Sideris and ASDOS devices and suggested that new generation Amplatzer® devices indicated more promising results [12]. Despite new generation occluder devices were developed, embolized devices which require surgical management are still reported and majority of these are case reports [13-15]. In a recent multi-center study which investigates device embolization complications, 3 patients died of stroke due to cerebral embolism and cardiac perforation was noted in one patient.…”

Section: Discussionmentioning

confidence: 99%

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Urgent surgical management for embolized occluder devices in childhood: single center experience

Gokaslan

Üstünsoy

Deniz

et al. 2012

J Cardiothorac Surg

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BackgroundIn this study, we sought to analyze our experience in urgent surgical management for embolized cardiac septal and ductal occluder devices resulting from trans-catheter closure of atrial septal defect, ventricular septal defect and patent ductus arteriosus in childhood patient group.MethodsWe retrospectively reviewed 9 patients (aged 2–15 years) who underwent urgent surgery due to cardiac septal and ductal occluder embolization between January 2007 and December 2010. Congenital defects were atrial septal defect (n = 6), ventricular septal defect (n = 1), and patent ductus arteriosus (n = 2). Risk factors for device embolization and urgent surgical management techniques for embolized device removal were discussed.ResultsRemoval of embolized devices in all cases and repair of damaged tricuspid valve in 2 patients were performed. Inevitably, all congenital defects were closed or ligated up to the primary defect. Total circulator arrest necessitated in 1 patient with ascending aortic device embolization. All operations were completed successfully and no hospital mortality or morbidity was encountered.ConclusionsAlthough closure of left to right shunting defects by percutaneous occluder devices has a lot of advantages, device embolization is still a major complication. If embolized device retrieval fails with percutaneous intervention attempts, surgical management is the only method to remove embolized devices. In this circumstance, to provide an uneventful perioperative course, urgent management strategies should be well planned.

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Section: Discussionmentioning

confidence: 99%

“…Only one of the devices which was embolized to the ascending aorta was removed via TCA after confirming its position with TEE. Perioperative TEE guidance is essential particularly in these patients, because the device migration might occur after aortic cannulation and initiation of CPB [15]. …”

Section: Discussionmentioning

confidence: 99%