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Updated: May 24, 2026

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
Published on: December 23, 2022
Patent ductus arteriosus device embolization
1Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India.
Insights
Nonsurgical patent ductus arteriosus (PDA) closure is common, but device dislodgement can occur. Surgical removal without cardiopulmonary bypass successfully resolved a dislodged duct occluder in a pediatric patient.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Surgery
Background:
- Percutaneous closure with duct occluders is a primary treatment for patent ductus arteriosus (PDA).
- High success rates are reported for nonsurgical PDA closure.
- Device-related complications, though rare, can necessitate alternative management strategies.
Purpose of the Study:
- To report a case of a dislodged duct occluder after percutaneous PDA closure.
- To describe the successful surgical management of this complication.
Main Methods:
- A pediatric patient underwent percutaneous device closure for PDA.
- The deployed occluder dislodged into the left pulmonary artery.
- Catheter retrieval attempts were unsuccessful.
- Surgical explantation of the device was performed without cardiopulmonary bypass.
Main Results:
- Device dislodgement into the left pulmonary artery occurred post-deployment.
- Multiple attempts at percutaneous retrieval failed.
- Successful surgical removal of the dislodged device was achieved.
Conclusions:
- While percutaneous PDA closure is effective, complications like device dislodgement can occur.
- Surgical intervention without cardiopulmonary bypass is a viable option for managing dislodged duct occluders.
- This case highlights the importance of considering surgical explantation in complex device-related complications.
Abstract:
Nonsurgical closure of patent ductus arteriosus (PDA) using a duct occluder placed percutaneously is currently the first line of therapy and the success rate is quite high. Several devices are currently available. An eight year child underwent device closure of the ductus. However after deployment of the device it, became dislodged into the left pulmonary artery. Several attempts at catheter retrieval failed. The child underwent successful surgical removal of the device without cardiopulmonary bypass.
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