Surgical removal of an embolized Amplatzer septal occluder device from the right ventricle

Year 2015, Volume: 1 Issue: 3, 146 - 150, 04.11.2015

Faruk Toktas Kadir Ozsin Emre Kaymakci Senol Yavuz

https://doi.org/10.18621/eurj.2015.1.3.146

Cited By: 1

Abstract

Atrial septal defect is one of the most common congenital heart defects encountered in adults. Currently, transcatheter atrial septal defect closure techniques have increasingly gained wide popularity as an alternative to surgery in many centers. However, they are associated with severe procedural complications requiring immediate surgical intervention. Here, we report a 29-year-old male patient with device embolization due to the migration of Amplatzer septal occluder device to the right ventricle at an early stage following percutaneous intervention. He underwent an emergency operation because of hemodynamic deterioration. The device was successfully removed with surgery and atrial septal defect was closed with a pericardial patch. The postoperative course was uneventful, and he was discharged from hospital on postoperative day 5.

Keywords

Atrial septal defect, transcatheter closure technique, Amplatzer septal occluder, device embolization, cardiac surgery

References

• Butera G, Biondi-Zoccai G, Sangiorgi G, Abella R, Giamberti A, Bussadori C, et al. Percutaneous versus surgical closure of secundum atrial septal defects: a systematic review and meta-analysis of currently available clinical evidence. EuroIntervention. 2011 Jul;7(3):377-85.
• Kotowycz MA, Therrien J, Ionescu-Ittu R, Owens CG, Pilote L, Martucci G, et al. Long-term outcomes after surgical versus transcatheter closure of atrial septal defects in adults. J Am Coll Cardiol Intv. 2013 May;6(5):497-503.
• Animasahun BA, Aluko Y, Johnson A, Ogunyankin K, Maheshwari S. Transcatheter closure of secundum atrial septal defect in adults: report of our first experience in a developing country. Open Access Surg. 2014;7:29-33.
• Sarris GE, Kirvassilis G, Zavaropoulos P, Belli E, Berggren H, Carrel T, et al. Surgery for complication of trans-catheter closure of atrial septal defects: A multi-institutional study from the European Congenital Heart Surgeons Association. Eur J Cardiothorac Surg. 2010 Jun;37(6):1285-90.
• Cresce GD, Favaro A, Auriemma S, Salvador L. Amplatzer septal occluder migration into the pulmonary trunk: surgical removal through a totally thoracoscopic approach. Innovations (Phila). 2013 Sep-Oct;8(5):381-3.
• Contrafouris CA, Chatzis AC, Giannopoulos NM, Milonakis M, Kousi T, Kirvassilis G, et al. Emergency surgical intervention for runaway atrial septal defect closure devices. J Thorac Cardiovasc Surg. 2006 Nov;132(5):1234-5.
• Wu HC, Wang CC, Fu YC, Jan SL, Wei HJ, Lin YK, et al. Surgical management for complications during closure of atrial septal defect with Amplatzer device. Acta Cardiol Sin. 2013;29(6):557-61.
• Berdat PA, Chatterjee T, Pfammatter JP, Windecker S, Meier B, Carrel T. Surgical management of complication after transcatheter closure of an atrial septal defect or patent foramen ovale. J Thorac Cardiovasc Surg. 2000 Dec;120(6):1034-9.
• Ekim H, Odabasi D, Gunes Y, Basel H. Emergent surgical retrieval of an embolized septal occluder from the main pulmonary artery. Pak J Med Sci. 2011;27(2):438-40.
• Gur AK. Device embolization associated with percutaneous closure of atrial septal defect. Turk Gogus Kalp Dama. 2013;21(4):1061-3.
• King TD, Thompson SL, Steiner C, Mills NL. Secundum atrial septal defects: nonoperative closure during cardiac catheterization. JAMA. 1976 Jun 7;235(23):2506-9.
• Gadhinglajkar S, Unnikrishnan KP, Sreedhar R, Kapoor MC, Neema PK. Surgical retrieval of embolized atrial septal defect occluder device from pulmonary artery: Pathophysiology and role of the intraoperative transoesophageal echocardiography. Ann Card Anaesth. 2009;12(1):40-8.
• Chessa M, Carminati M, Butera G, Bini RM, Drago M, Rosti L, et al. Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. J Am Coll Cardiol. 2002 Mar 20;39(6):1061-5.
• Agarwal SK, Ghosh PK, Mittal PK. Failure of devices used for closure of atrial septal defects: mechanisms and management. J Thorac Cardiovasc Surg. 1996 Jul;112(1):21-6.
• Ueda H, Yanagi S, Nakamura H, Ueno K, Gatayama R, Asau T, et al. Device closure of atrial septal defect: immediate and mid-term results. Circ J. 2012;76(5):1229-34.