Minimally Invasive Correction of Failed Percutaneous Atrial Septal Closure with Device Embolization
Vlander Costa1, Tulio Caldonazo2, Paola Montanhesi3
1Department of Cardiac Surgery, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Abstract:
We present the case of a minimally invasive surgical correction for failed percutaneous atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD, tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders to the superior mesenteric artery. Our surgical approach consisted of anterolateral minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure was uneventful and patient was discharged home on postoperative day 4.
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