Retrieval of the Atrial Septal Defect Closure Device Embolized to Pulmonary Artery

Yıl 2017, Cilt: 20 Sayı: 2, 153 - 156, 01.08.2017

Selim Durmaz , Tünay Kurtoğlu Hasan Güngör Muhammet Hüseyin Erkan Muharrem İsmail Badak

Öz

Atrial
septal defect (ASD) is among the most common congenital heart defects in
adults. Percutaneous closure of ASD has emerged as an alternative to surgery
and has comparable results with those of surgery. Device embolization is a rare
but potentially fatal complication of this technique. In this case report, we
present the embolization of CARDIA Ultrasept ASD Occluder Device to pulmonary
artery which was retrieved surgically and discuss the management of this
complication in the light of literature.

Anahtar Kelimeler

Atrial septal defect, embolization, pulmonary artery

Pulmoner Artere Embolize Olan Atriyal Septal Defekt Kapatma Cihazının Çıkartılması

Öz

Atriyal
septal defekt (ASD) erişkinlerde en sık karşılaşılan konjenital kalp
anomalileri arasında yer almaktadır. Perkütan girişimle ASD kapatılması
cerrahiye alternatif olarak ortaya çıkmıştır ve cerrahi ile karşılaştırılabilir
sonuçlar elde edilmiştir. Cihaz embolizasyonu bu tekniğin nadir görülen ancak
potansiyel olarak ölümle sonuçlanabilecek bir komplikasyonudur. Bu olgu
sunumunda pulmoner artere embolize olan CARDIA Ultrasept cihazın cerrahi olarak
çıkartılması sunulmakta ve bu komplikasyonun tedavisinde uygulanabilecek
yaklaşımlar literatür bilgisi eşliğinde tartışılmaktadır.

Anahtar Kelimeler

Atriyal septal defekt, embolizasyon, pulmoner arter

Kaynakça

• 1. Chiappini B, Gregorini R, Di Eusanio M, Ciocca M, Villani C, Minuti U, et al. Embolization of an Amplatzer atrial septal closure device to the pulmonary artery. J Card Surg 2008;23:164-7.
• 2. Son JW, Park JS. Subacute, silent embolization of amplatzer atrial septal defect closure device to the pulmonary artery. J Cardiovasc Ultrasound 2012;20:201-4.
• 3. Boysan E, Cicek OF, Cicek MC, Hamurcu Z, Gurkahraman S. Surgical removal of an atrial septal occluder device embolized to the main pulmonary artery. Tex Heart Inst J 2014;41:91-3.
• 4. Lysitsas DN, Wrigley B, Banerjee P, Glennon PE, Parmar JM, Shiu MF, et al. Presentation of an embolised Amplatzer septal occluder to the main pulmonary artery 2 years after implantation. Int J Cardiol 2009;24;131:e106-7.
• 5. Sahin DY, Koç M, Cakır H, Arık OZ, Elbasan Z, Caylı M. A silent and late embolization of atrial septal defect occluder device into the right pulmonary artery: a case report. Korean Circ J 2012;42:781-3.
• 6. Karampinis I, Pfleger S, Nowak K. Extracardial migration of an atrial septal defect occluder device. J Invasive Cardiol 2013;25:E219-20.
• 7. Kawamura A, Nishiyama N, Kawakami T, Fukuda K. Retrieval of embolized Amplatzer septal occluder using ablation catheter and triple-loop snare. Cardiovasc Interv Ther 2014;29:350-3.
• 8. Misra M, Sadiq A, Namboodiri N, Karunakaran J. The ‘aortic rim’ recount: embolization of interatrial septal occluder into the main pulmonary artery bifurcation after atrial septal defect closure. Interact Cardiovasc Thorac Surg 2007;6:384-6.
• 9. Amanullah MM, Siddiqui MT, Khan MZ, Atiq MA. Surgical rescue of embolized amplatzer devices. J Card Surg 2011;26:254-8.
• 10. Chamié F, Simões LCN, Mattos R, Chamié D, Tress JC, Lacoste MO. Early experience with the new CARDIA Ultrasept™ device for patent foramen ovale occlusion: still a good option. Rev Bras Cardiol Invasiva 2012;20: 309-14.