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[Dislodged Amplatzer occluder in the aorta]

Jeno Imre1, László Hejjel, Dóra Miklán

  • 1Pécsi Tudományegyetem, Altalános Orvostudományi Kar Szívgyógyászati Klinika, Pécs, Hungary. jimre@clinics.pote.hu

Magyar Sebeszet
|April 23, 2008
PubMed

Insights

Device closure for atrial septal defect (ASD) is an alternative to surgery. A dislodged Amplatzer device caused complications, requiring open-heart surgery for removal and direct ASD closure.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Percutaneous device closure is an alternative to surgical repair for atrial septal defects (ASD).
  • The Amplatzer occluder is a commonly used device for transcatheter ASD closure.

Observation:

  • A 55-year-old female presented with chest discomfort post-Amplatzer device implantation for ASD.
  • Echocardiography revealed a persistent ASD and device displacement.
  • Imaging confirmed the occluder lodged at the aortic-brachiocephalic trunk bifurcation.

Findings:

  • The dislodged Amplatzer device necessitated urgent intervention.
  • Open-heart surgery was required for device retrieval and direct ASD closure.

Implications:

  • This case highlights a rare but serious complication of percutaneous ASD device closure.
  • Careful patient selection and device deployment are crucial for successful outcomes.
  • Prompt surgical intervention is vital for managing device embolization.

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