Percutaneous retrieval of an interatrial septal occluder device embolized into the aortic arch [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(7): 502-504

Percutaneous retrieval of an interatrial septal occluder device embolized into the aortic arch

Selçuk Pala, Göksel Açar, Kürşat Tigen, Cevat Kırma
Kartal Koşuyolu Heart And Research Hospital, İstanbul, Turkey

Percutaneous closure of secundum atrial septal defects (ASD) may be complicated by immediate embolization. We report on a 35-year-old woman who underwent percutaneous device closure for a secundum ASD. The diameter of the defect was measured as 4 mm by two-dimensional transesophageal echocardiography and a 7-mm Figulla ASD occluder device was implanted without prior balloon sizing of the defect. Immediate embolization was noted into the aortic arch. Attempts to pull the devices into the sheath with a loop snare failed even after replacing the delivery sheath with a bigger one. Finally, a bioptome was used to grab and place the screw mechanisms in the sheath and percutaneous retrieval of the embolized ASD occluder was achieved. Balloon sizing was performed after removal, yielding a stretched diameter of 12 mm and a 15-mm device was deployed with success.

Keywords: Device removal/instrumentation, echocardiography, heart catheterization/complications; heart septal defects, atrial

How to cite this article
Selçuk Pala, Göksel Açar, Kürşat Tigen, Cevat Kırma. Percutaneous retrieval of an interatrial septal occluder device embolized into the aortic arch. Turk Kardiyol Dern Ars. 2010; 38(7): 502-504

Corresponding Author: Göksel Açar, Türkiye
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