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Embolization of an Amplatzer Atrial Septal Closure Device to the Pulmonary Artery
Author(s) -
Chiappini Bruno,
Gregorini Renato,
Di Eusanio Mauro,
Ciocca Marco,
Villani Carmine,
Minuti Ugo,
Giancola Raffaele,
Prosperi Franco,
Petrella Licia,
Paparoni Saro,
Mazzola Alessandro
Publication year - 2008
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00510.x
Subject(s) - medicine , ventricle , cardiology , tricuspid valve , pulmonary artery , shunt (medical) , intracardiac injection , surgery
A 44‐year‐old woman with a history of transient ischemic attack underwent closure of atrial septal defect with a 26 mm Amplatzer device. The device was released without residual shunt or impingement on intracardiac structures. Within seconds, the transesophageal echocardiography showed the initial dislodgement of the device from the atrial septum and its consequent slipping back into the right atrium close to the tricuspid valve. Soon after the device disappeared from the right atrium and it could be founded into the right ventricle under the tricuspid valve. The patient was transferred in the operating room for an emergency operation. The device could not be found in the right ventricle because its downstream migration. The Amplatzer septal occluder was identified by palpation into the pulmonary artery trunk: it was retrieved from the right ventricle through the pulmonary valve and the atrial septal defect was closed by running suture.