Total laparoscopic intra-aortic foreign body retrieval

Thrombo-embolic risk of intra-aortic foreign bodies (IAFB) is unpredictable. Endovascular retrieval is the treatment of choice but not always feasible. We report a case of total laparoscopic IAFB retrieval in a 37 years old patient. He underwent a percutaneous closure of a septal defect using a Helex device (WL Gore). Migration of the device occurred 6 months after the procedure. Device was located at the aortic bifurcation on CT scan. We performed a total laparoscopic retrieval through a transperitoneal direct approach of the abdominal aorta. Postoperative course was uneventful.