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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
Summary
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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