Thorac Cardiovasc Surg 2009; 57(4): 233-235
DOI: 10.1055/s-2008-1038727
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Removal of Displaced and Impacted ASD Device after 4 Years

R. S. Dhaliwal1 , H. Singh1 , N. Swami1 , V. Srivastava1
  • 1Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Further Information

Publication History

received February 27, 2008

Publication Date:
20 May 2009 (online)

Abstract

Open heart surgery is the gold standard for the closure of atrial septal defects (ASDs). Percutaneous transcatheter closure is used to close simple ostium secundum ASDs. As this method avoids sternotomy, the post-procedural morbidity is lower. These procedures are associated with complications which can be life threatening and require urgent surgical intervention. We report a rare case which required surgical removal of the Amplatzer septal occluder and closure of the ASD four years after the initial percutaneous transcatheter closure due to displacement of the device.

References

  • 1 Du Z D, Hijazi Z M, Kleinman C S, Silverman N H, Larntz K. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial.  J Am Coll Cardiol. 2002;  39 1836-1844
  • 2 Chessa M, Carminati M, Butera G, Bini R M, Drago M, Rosti L, Giamberti A, Pome G, Bossone E, Frigiola A. Early and late complications associated with transcatheter occlusion of secundum atrial septal defect.  J Am Coll Cardiol. 2002;  39 1061-1065
  • 3 Berdat P A, Chatterjee T, Pfammatter J P, Windecker S, Meier B, Carrel T. Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale.  J Thorac Cardiovasc Surg. 2000;  120 1034-1039
  • 4 Thompson M J, Behranwala A, Campanella C, Walker W S, Cameron E W. Immediate and long-term results of mitral prosthetic replacement using a right thoracotomy beating heart technique.  Eur J Cardiothorac Surg. 2003;  24 47-51
  • 5 King T D, Thompson S L, Steiner C, Mills N L. Secundum atrial septal defect. Nonoperative closure during cardiac catheterization.  Jama. 1976;  235 2506-2509
  • 6 Kannan B R, Francis E, Sivakumar K, Anil S R, Kumar R K. Transcatheter closure of very large (> or = 25 mm) atrial septal defects using the Amplatzer septal occluder.  Catheter Cardiovasc Interv. 2003;  59 522-527
  • 7 Hopkins R A, Bert A A, Buchholz B, Guarino K, Meyers M. Surgical patch closure of atrial septal defects.  Ann Thorac Surg. 2004;  77 2144-2149 2149-2150

Dr. Harkant Singh

Department of Cardiovascular and Thoracic Surgery
Postgraduate Institute of Medical Education and Research

Sector 12

Chandigarh – 160012

India

Email: baryah@hotmail.com

    >