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Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence
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Patent ductus arteriosus device embolization.

K Iqbal1, Sm Ali, Na Tramboo

  • 1Sheri-Kashmir Institute Of Medical Sciences, Soura Srinagar, J&K, India.

Images in Paediatric Cardiology
|February 28, 2012
PubMed
Summary

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.

Keywords:
Heart defectscongenitalpatent ductus

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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.