Key result
Surgical retrieval of an Amplatzer septal occluder device that embolized into the main pulmonary artery in a vertical position was successfully performed, preventing fatal complications.
Why the study?
Percutaneous ASD device closure offers advantages over surgery, but complications such as device embolization can occur.
Case Report (n=1)
This case highlights the importance of prompt multidisciplinary surgical retrieval of an embolized ASD closure device, noting that a vertical position in the pulmonary artery may maintain hemodynamics and prevent fatal obstruction.
Device embolization to the pulmonary artery can occur in deficient-rim ASD; Level 5 evidence leaves open optimal selection criteria.
Percutaneous device closure of atrial septal defect (ASD) is an alternative to traditional surgical closure. Various advantages of percutaneous correction are less invasive, early recovery, less hospital stay. Yet the complications such as arrhythmia, cardiac tamponade, and device embolization cannot be ignored. We report a case of ASD device embolization in case of ostium secondum ASD with deficient aortic rim. The embolized device was stuck in the main pulmonary artery at bifurcation in the vertical position, which required surgical intervention for retrieval.
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Umbarkar et al. (2019) conducted a case report in Atrial septal defect device embolization (n=1). Surgical retrieval of embolized Amplatzer septal occluder was evaluated on Patient outcome after surgical retrieval. Surgical retrieval of an Amplatzer septal occluder device that embolized into the main pulmonary artery in a vertical position was successfully performed, preventing fatal complications.
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