Embolization of Atrial Septal Occluder Device Into the Pulmonary Artery

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Elsevier Ireland Ltd

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Objective: Percutaneous device closure of atrial septal defects (ASD) has been established as a safe and attractive alternative to surgical management. Besides advantages such as lower morbidity and hospital stay when compared to surgical closure, the number of the complications increase day by day as the number of percutaneous procedures increase. We present a case with embolization of a septal occluder device (SOD) to the main pulmonary artery. Methods: A 20–year old woman was referred to our cardiology department for percutaneous device closure. TTE findings were consistent with secundum type ASD occupying the entire fossa ovalis and percutaneous closure was scheduled as the left to right shunt ratio was >1.5. The length of superior, inferior and aortic rims were measured as 14, 9 and 4 mm respectively. It was noted that the aortic rim was thin and had a membranous appearance. Following general anesthesia, balloon stretched diameter was measured as 31 mm by using stop-flow method. A 34-mm Amplatzer SOD was employed after properly positioning the SOD on the atrial septum under the guidance of transesophageal echocardiography. The release of the device was performed after Minnesota Maneuver to ensure the stability. The views obtained by TEE were satisfactory with absence of a flow across the interatrial septum and the procedure was finalized. The patient did not have any symptoms.


Anahtar Kelimeler


International Journal of Cardiology

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Doğan, U., Özdemir, K., Narin, C., Akıllı, H., Güleç, H., Gök, H., (2010). Embolization of Atrial Septal Occluder Device Into the Pulmonary Artery. International Journal of Cardiology, (140), S82-S82. Doi: /10.1016/S0167-5273(10)70291-6