Percutaneous closure of a postoperative residual atrial septal defect with the Occlutech Figulla Occluder device

Abstract Background Atrial 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 introduction A 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. Conclusion This technique provides a safe method for surgical removal of malposition and migration ASD occluder device.

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Surgical Extraction of an Embolized Atrial Septal Defect Occluder Device into Pulmonary Artery after Percutaneous Closure

The Korean Journal of Thoracic and Cardiovascular Surgery ◽

10.5090/kjtcs.2013.46.2.135 ◽

2013 ◽

Vol 46 (2) ◽

pp. 135-137

Author(s):

Mustafa Yolcu ◽

Mehmet Ali Kaygin ◽

Emrah Ipek ◽

Fatih Rifat Ulusoy ◽

Bilgehan Erkut

Keyword(s):

Pulmonary Artery ◽

Atrial Septal Defect ◽

Septal Defect ◽

Percutaneous Closure ◽

Surgical Extraction ◽

Occluder Device

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Transcatheter retrieval of Amplatzer Septal Occluder device embolized into the abdominal aorta

SAGE Open Medical Case Reports ◽

10.1177/2050313x19842462 ◽

2019 ◽

Vol 7 ◽

pp. 2050313X1984246 ◽

Cited By ~ 1

Author(s):

Gianfranco Filippone ◽

Gaetano La Barbera ◽

Fabrizio Valentino ◽

Salvatore Ocello ◽

Francesco Talarico

Keyword(s):

Atrial Septal Defect ◽

Abdominal Aorta ◽

Surgical Procedure ◽

Septal Defect ◽

English Literature ◽

Percutaneous Closure ◽

Amplatzer Septal Occluder ◽

Septal Occluder Device ◽

Occluder Device ◽

Transcatheter Retrieval

The use of Amplatzer Septal Occluder device has become an alternative to surgical procedure in selected group of patients affected by atrial septal defect. Percutaneous closure of atrial septal defect has emerged as a low morbidity procedure but, at the same time, showed various complications associated to the device itself. Although embolization to the abdominal aorta is only sporadic reported, it could represent a potential vascular disaster and usually is treated by surgery. Herein, we report on the fourth, in English literature, successfully total transcatheter retrieval of an Amplatzer Septal Occluder device complicated by acute embolization into the abdominal aorta and propose a practical endovascular manoeuvre to address disc removal.

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Correction to: Early Complications After Percutaneous Closure of Atrial Septal Defect in Infants with Procedural Weight Less than 15 kg

Pediatric Cardiology ◽

10.1007/s00246-021-02550-z ◽

2021 ◽

Vol 42 (2) ◽

pp. 468-468

Author(s):

Gustaf Tanghöj ◽

Michal Odermarsky ◽

Estelle Naumburg ◽

Petru Liuba

Keyword(s):

Atrial Septal Defect ◽

Septal Defect ◽

Percutaneous Closure ◽

Early Complications

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Cobra head deformity of atrial septal occluder: blessing in disguise

Cardiology in the Young ◽

10.1017/s1047951120004084 ◽

2020 ◽

pp. 1-2

Author(s):

Uma Devi Karuru ◽

Saurabh Kumar Gupta

Keyword(s):

Atrial Septal Defect ◽

Left Atrial ◽

Septal Defect ◽

Atrial Septum ◽

Right Atrial ◽

Septal Occluder Device ◽

Occluder Device ◽

The Right

Abstract It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.

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