Related Experiment Video
Updated: Dec 19, 2025
Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
Late Complication of Amplatzer Duct Occluder: Erosion and Pseudoaneurysm
Sudesh Prabhu1, Rishi Tiwari1, Siddhant Mehra1
1Department of Pediatric Cardiac Surgery, Narayana Institute of Cardiac Sciences, Bangalore, India.
Insights
A rare delayed complication of the Amplatzer duct occluder (ADO) involved device erosion, leading to a pseudoaneurysm and airway communication. This case highlights potential, though infrequent, risks associated with transcatheter closure devices.
Area of Science:
- Cardiology
- Medical Devices
- Interventional Cardiology
Background:
- Transcatheter closure of patent ductus arteriosus (PDA) using devices like the Amplatzer duct occluder (ADO) is a common and generally safe procedure.
- While ADO devices are considered highly safe for PDA closure, rare complications can occur, necessitating careful monitoring and reporting.
Abstract:
We are presenting a delayed complication of an Amplatzer duct occluder (ADO) in which a patient presented with increasing hemoptysis owing to ADO eroding the vessel wall and forming a pseudoaneurysm that communicated with the left main bronchus. Although ADO is considered as the safest for catheter-based patent ductus arteriosus closures, isolated complication as reported can occur. Just like atrial septal defect device closures, which were considered safe initially and found to be having an erosion incidence of 0.1% to 0.3%, this case could represent an isolated event (the index case) or a long-term complication occurring at a very low incidence.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
01:30Aneurysm I: Introduction