Case Report

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

Volume: 1 Number: 3 November 4, 2015
EN

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

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

References

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. 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.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Faruk Toktas
Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Türkiye

Kadir Ozsin
Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Türkiye

Emre Kaymakci This is me
Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
Türkiye

Senol Yavuz
Department of Cardiovascular Surgery, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa
0000-0001-5246-0808
Türkiye

Publication Date

November 4, 2015

Submission Date

August 22, 2015

Acceptance Date

September 29, 2015

Published in Issue

Year 2015 Volume: 1 Number: 3

AMA
1.Toktas F, Ozsin K, Kaymakci E, Yavuz S. Surgical removal of an embolized Amplatzer septal occluder device from the right ventricle. Eur Res J. 2015;1(3):146-150. doi:10.18621/eurj.2015.1.3.146

Cited By