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Total laparoscopic intra-aortic foreign body retrieval.
G Colacchio1, V Sciannelli, G Palena
1Department of Vascular Surgery M.A.S., Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy. giovanni.colacchio@operapadrepio.it
Summary
Intra-aortic foreign bodies (IAFB) pose unpredictable risks. Total laparoscopic retrieval of a migrated Helex device from the aortic bifurcation was successfully performed, offering a viable alternative when endovascular methods fail.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Procedures
- Medical Device Complications
Background:
- Intra-aortic foreign bodies (IAFB) present unpredictable thrombo-embolic risks.
- Endovascular retrieval is the preferred treatment for IAFB, but it is not always feasible.
- Device migration after percutaneous procedures is a known complication.
Observation:
- A 37-year-old patient experienced migration of a Helex septal closure device to the aortic bifurcation.
- Computed tomography (CT) scan confirmed the device's location.
- The patient had previously undergone percutaneous closure of a septal defect.
Findings:
- Total laparoscopic retrieval of the intra-aortic foreign body was successfully achieved.
- A transperitoneal direct approach to the abdominal aorta was utilized.
- The patient experienced an uneventful postoperative recovery.
Implications:
- Total laparoscopic retrieval is a feasible and safe alternative for managing intra-aortic foreign bodies when endovascular methods are not possible.
- This approach can be effective for complex cases involving migrated devices.
- Minimally invasive surgical techniques can be expanded to manage cardiovascular device complications.