The retrieval of atrial septal defect closure device embolized into aortic arch

Hamur, Hikmet; Onk, Oruç Alper; Değirmenci, Hüsnü; Kahraman, Ümit; Bakırcı, Eftal Murat; Tuncer, Osman Nuri

doi:10.5582/irdr.2016.01016

Cited by 5 publications

(6 citation statements)

References 7 publications

(3 reference statements)

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“…Device embolization can occur because of small right atrium, large ASD, deficient aortic rim (less than 5 mm), 3,5 undersizing of device, technical difficulty, and operator skill. 2 In our case, it was technical difficulty in loading Amplatzer device and deficient aortic rim. It took three attempts for the cardiologist to load the device that finally was placed over ASD but immediately got embolized.…”

Section: Discussionmentioning

confidence: 64%

Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome

Nebu¹,

Upadhyay²,

Umbarkar³

et al. 2019

Journal of Research &Amp; Innovation in Anesthesia

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Percutaneous device closure of atrial septal defect (ASD) is an alternative to traditional surgical closure. Various advantages of percutaneous correction are less invasive, early recovery, less hospital stay. Yet the complications such as arrhythmia, cardiac tamponade, and device embolization cannot be ignored. We report a case of ASD device embolization in case of ostium secondum ASD with deficient aortic rim. The embolized device was stuck in the main pulmonary artery at bifurcation in the vertical position, which required surgical intervention for retrieval.

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Section: Discussionmentioning

confidence: 64%

Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome

Nebu¹,

Upadhyay²,

Umbarkar³

et al. 2019

Journal of Research &Amp; Innovation in Anesthesia

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show abstract

“…Device embolization is seen rarely but it can be fatal. It is seen in about 0.6% of cases [1] as high as 20% [3]. We report a complication of such closure in a 44-year-old man.…”

Section: Introductionmentioning

confidence: 81%

“…When this complication is discovered early, within first 24 hours; the percutaneous retrieval is possible in 50% of cases using devices like endomyocardial biopsy or different kinds of snares [2]. The surgical approach allows both retrieving the device and closing the PFO/ASD [1]. When this complication was discovered after three months, although percutaneous retrieval was considered, the surgical approach was chosen.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Open Surgery for Retrieval of Patent Foramen Ovale Closure Device Embolized into Right Pulmonary Artery

Khaddour¹,

Dawson²,

Shafei³

2017

WJCS

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Percutaneous Patent Foramen Ovate PFO/Atrial Septal Defect (ASD) closure has become an increasingly simplified procedure over the past decade. The main advantages of a percutaneous approach include avoidance of surgery, short procedure time and hospital stay. Device embolization is seen rarely but it can be fatal. We report this complication following a percutaneous PFO closure in a 44-year-old man. The device was embolized into the distal part of the right pulmonary artery. We removed the device surgically and closed the PFO/ASD.

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“…9 Hamur et al, in a case report, extracted a device (the authors did not know when the device has been embolized after the procedure) similar to our case with longitudinal aortic incision also from aortic arch in elective conditions. 10 But, Hamur et al performed ASD repair before removing the device. In our case, we extracted the device first, then performed ASD repair because of the unstable hemodynamic status of our patient and the risk of embolization of the device to a new site.…”

Section: Discussionmentioning

confidence: 99%

Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report

Tekın¹,

Yağmur²

2017

Turkiye Klinikleri J Case Rep

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trial septal defect is the third in frequency of congenital cardiac disorder in adults following bicuspid aortic valve and mitral valve prolapsed.1 Serious and large ASDs are repaired by open surgery at operating room, while ASDs with small and medium diameter are closed by occluder through percutaneous transvenous way under scopy in catheter room and with echocardiographic imaging. ASD closing by interventional cardiac catheterization is preferred in patients with suitable defect anatomy due to requirement of shorter hospital stay, its administration under sedation and lack of need for sternotomy and cardiopulmonary bypass (CPB). However percutaneous closing procedure has certain complications such as inappropriate placement of occluder, embolization and perforation which require emergency surgery. 2,3 In this report, we present a case of defect repair following embolization of septal occluder to arcus aorta and its surgical removal during closing intervention of an ASD of 28 mm. 51Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report A AB BS ST TR RA AC CT T Atrial septal defect (ASD) is a common congenital cardiac disorder in children, while it is the most frequently seen cardiac disorder in adults. During closure of ASD by an amplatzer septal occluder of 28 mm in a female patient aged 40 years old, embolization of ASD closure device was seen toward the left subclavian artery exit at arcus aorta. In this report, we present a successful emergency intervention following the embolization of ASD closure device to arcus aorta during percutaneous ASD closing procedure.K Ke ey yw wo or rd ds s: : Septal occluder device; atrial septal defect 2; heart defects, congenital Ö ÖZ ZE ET T Atriyal septal defekt(ASD) çocuklarda yaygın görülen bir doğuştan kalp hastalığı iken, yetişkinlerde görülen en sık doğuştan kalp hastalığıdır. Kırk yaşında kadın hastaya 28 mm amplatzer septal oklüder ile ASD kapama işlemi esnasında ASD kapama cihazının arkus aortada sol subklavian arter çıkışına embolize olduğu görüldü. Bu yazıda perkütan ASD kapatma işlemi esnasında ASD kapama cihazının arkus aortaya embolizasyonu sonrası gerçekleştirilen başarılı cerrahi tedavisi sunuldu.A An na ah ht ta ar r K Ke el li im me el

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The retrieval of atrial septal defect closure device embolized into aortic arch

Cited by 5 publications

References 7 publications

Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome

Position of the Embolized Atrial Septal Defect Device Matters in Retrieval and Safe Outcome

Open Surgery for Retrieval of Patent Foramen Ovale Closure Device Embolized into Right Pulmonary Artery

Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report

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