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Late Migration of Percutaneous Bio‐Absorbable Devices—A Word of Caution
Author(s) -
Vottero Giulia V.,
Niclauss Lars,
Marcucci Carlos,
Hurni Michel,
von Segesser Ludwig K.
Publication year - 2012
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.1540-8191.2011.01357.x
Subject(s) - medicine , percutaneous , surgery , patent foramen ovale , perforation , complication , ascending aorta , radiology , aorta , punching , materials science , metallurgy
Background:Closures of atrial septal defects or a patent foramen ovale (PFO) are increasingly performed percutaneously. The experience of late migration of a new bio‐absorbable device is presented here, followed by conceptual discussion. Methods: Six months post PFO closure with a BioSTAR® device a patient presented with chest pain. Echocardiography showed a hyperechogenic structure perforating the aortic wall. Results: Surgical exploration showed a perforation of the ascending aorta by one metallic, non absorbable arm. This is the second case of late (>6 months) dislocation of the residual framework of the occluder. Conclusions: The overall incidence of perforation of cardiac structures due to secondary dislocation is low. However this complication exists and should kept in mind in symptomatic patients with new onset of chest pain, after percutaneous procedures. The concept of biodegradation, with residual, non absorbable metal braiding, should be reviewed, analyzing in particular long term results and incidence of secondary dislocation.