Emergent surgical removal of a migrated atrial septal defect occluder: case report

Journal of Cardiothoracic Surgery

Bi Wen¹  Juan He¹ 

[1] Department of Cardiology, West China Hospital, Sichuan University, Guoxuexiang 37th, 610041, Chengdu, Sichuan, P.R. China;

关键词: Surgical retrieval;    ASD closure device;    Left ventricular outflow tract;   

DOI  :  10.1186/s13019-020-01350-5

来源: Springer

【 摘 要 】

BackgroundAtrial septal defect (ASD) closure has been widely accepted and is now routinely performed using a percutaneous approach under especially echocardiographic guidance Transesophageal echocardiography (TEE). One major complication is dislocation of occluder device during or after the device implantation. Surgical removal may be required, especially when the device stuck in the left ventricular outflow tract (LVOT).Case introductionA 21-year-old female was admitted to our department for percutaneous closure of secundum ASD. Percutaneous closure under the guidance of TEE was recommended for the patients. During device implantation, the TEE showed dislocation of the 22 mm ASD occluder device, stucked into the LVOT and behind the anterior mitral leaflet, producing severe LVOT obstruction Fig. 1). We herein present a safe and quick technique for surgical removal of an ASD occlude device located in the LVOT.ConclusionThis technique provides a safe method for surgical removal of malposition and migration ASD occluder device.

【 授权许可】

CC BY