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J Thorac Cardiovasc Surg 2008;135:698-699
© 2008 The American Association for Thoracic Surgery


Brief Communication

Retrograde aortic perfusion dislodges a dislodged Amplatzer device

Zubair Luqman, FCPS, Junaid A. Ansari, FRCS(CTh), Hameed Ullah, FCPS, Mohammad Muneer Amanullah, FRCS(CTh)*

Division of Congenital Cardiac Surgery, Department of Surgery, the Aga Khan University Hospital, Karachi, Pakistan

Received for publication September 28, 2007; accepted for publication October 31, 2007.

* Address for reprints: Mohammad Muneer Amanullah, FRCS(CTh), Congenital Cardiac Surgery, the Aga Khan University Hospital, Stadium Road, PO Box 3500, Karachi 74800, Pakistan. (Email: muneer.amanullah@aku.edu).

The first 20% of the full text of this article appears below.

Transcatheter closure of secundum atrial septal defects (ASDs) with an Amplatzer septal occluder (ASO) (AGA Medical Corporation, Golden Valley, Minn) has become a standard procedure in most pediatric and adult populations.1Go Different series have reported successful closure of ASDs with good follow-up.1-3Go One of the most frequently reported complications is device embolization/malposition.1Go Devices usually embolize into the main pulmonary artery. We report a case of device embolization into the aorta and the strategy for surgical retrieval.

Clinical Summary

A 53-year-old woman presented to the cardiology clinic with complaints of palpitations. Echocardiographic analysis revealed a 15-mm secundum ASD. She underwent elective closure of the ASD with ASO without any complications. Her predischarge echocardiogram revealed that the ASD was still present. Fluoroscopic study of the thorax showed that the device had embolized into the ascending aorta . . . [Full Text of this Article]







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