Delayed embolization of ductal occluder device into the aorta with near-complete obstruction of the aorta and critical cardiac decompensation.
Aorta, Thoracic
/ surgery
Child
Device Removal
/ methods
Ductus Arteriosus, Patent
/ surgery
Embolism
/ etiology
Female
Foreign-Body Migration
/ etiology
Heart Failure
Heart Ventricles
Humans
Hypertension, Pulmonary
Septal Occluder Device
/ adverse effects
Thoracotomy
/ methods
Time Factors
Ventricular Dysfunction, Right
aorta
delayed embolization
ductal occluder device
surgical removal
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
pubmed:
24
1
2020
medline:
12
9
2020
entrez:
24
1
2020
Statut:
ppublish
Résumé
Delayed embolization of ductal occluder device into the aorta after transcatheter closure of a patent ductus arteriosus (PDA) with almost complete obstruction of the aorta is extremely rare. Our patient had delayed migration of a ductal occluder device into the descending thoracic aorta (DTA) 6 months after its deployment. Because of critical biventricular dysfunction, urgent surgical removal of the device from the descending aorta was done via left posterolateral thoracotomy without using cardiopulmonary bypass. PDA was not closed because of doubt about the reversibility of pulmonary artery hypertension and severe right ventricular dysfunction so that it can act as an outlet to the decompensated right ventricle. The patient made an uneventful recovery. The patient was started on pulmonary vasodilators and is planned for right heart catheterization study after 2 months to check for the operability of PDA.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
696-699Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
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Zabal C, Garcia-Montes JA, Buendia-Hernandez A, et al. Percutaneous closure of hypertensive ductus arteriosus. Heart. 2010;96:625-629.
Bilkis AA, Alwi M, Hasri S, et al. The Amplatzer duct occluder: experience in 209 patients. J Am Coll Cardiol. 2001;37:258-261.