Cor Vasa 2019, 61(5):484-488 | DOI: 10.1016/j.crvasa.2018.09.003

(Surgical remove of a dislocated Amplatzer septal occluder in the right pulmonary artery)

Tomáš Toporcer^a, Martin Ledecký^a, Stanislav Juhás^b, Miroslav Gejguš^a, Adrián Kolesár^a, František Sabol

^a Klinika srdcovej chirurgie, Lekárska fakulta Univerzity Pavla Jozefa Šafárika a Východoslovenský ústav srdcových a cievnych chorôb a.s., Košice, Slovensko

^b Klinika kardiológie, Lekárska fakulta Univerzity Pavla Jozefa Šafárika a Východoslovenský ústav srdcových a cievnych chorôb a.s., Košice, Slovensko

Atrial septal defects represent 5.9% of all cases of congenital heart malformations. Percutaneous implantation of occluder devices is a widely used strategy in the treatment of this malformation. A 65-year-old woman was admitted for percutaneous closure of an atrial septal defect. During the proce- dure, dislocation of the Amplatzer occluder into the right pulmonary artery occurred. Surgery with removal of the device, closure of the defect and aortopulmonary bypass with the use of a cardiopulmonary bypass was performed with a good outcome. Dislocation of the device during atrial septal defect is a rare, but life-threatening complication. The most common dislocation of the occluder requires surgery with device removal and closure of the atrial septal defect. Percutaneous closure of the atrial septal defect by Amplatzer occluder implantation is a modern and applicable treatment strategy. However, in consideration of the risk of unforseeable complications, the opportunity for performing immediate surgical revision increases the safety of the procedure.

Keywords: Atrial septal defect, Amplatzer septal occluder, Amplatzer septal occluder, dislocation, Right pulmonary artery

Published: October 20, 2019  Show citation