Embolization of Gianturco coil into the pulmonary artery requiring emergency surgical intervention.
We report the case of a 20-month-old girl who underwent Gianturco coil embolization to a patent ductus arteriosus in May 1997. The coil migrated to the pulmonary artery. After unsuccessful attempts to retrieve it with snares and forceps, we engaged the coil with an end-hole balloon catheter and pulled it down to the right ventricle. There it became entangled in the tricuspid valvular apparatus and could not be moved farther. Due to concerns about sequelae, the patient was referred for surgery. Following a mid-sternotomy under cardiopulmonary bypass, we removed the coil and ligated the patent ductus arteriosus. The patient made an uneventful recovery. A brief review of the literature is presented.
Hijazi
A
A
Consultant Cardiovascular-Thoracic Surgery Department, Hamad Medical Corporation, Doha, Qatar.
Mazhar
R
R
Bricelj
V
V
Robida
A
A
D002404:Catheterization; D004374:Ductus Arteriosus, Patent / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D004630:Emergencies; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D007223:Infant; D008026:Ligation; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011859:Radiography