Severe intravascular hemolysis after transcatheter closure of a large patent ductus arteriosus using the Amplatzer duct occluder: successful resolution by intradevice coil deployment.
A 21-year-old female developed severe unremitting intravascular hemolysis following closure of a large patent ductus arteriosus using an Amplatzer duct occluder. Percutaneous deployment of fibered platinum coils within the nitinol wire cage of the Amplatzer duct occluder abolished the residual shunt through the device and resulted in cessation of intravascular hemolysis and reversal of its adverse sequelae.
Joseph
George
G
Department of Cardiology, Christian Medical College Hospital, Vellore 632 004, India. cardio1@cmcvellore.ac.in
Mandalay
Asishkumar
A
Zacharias
T U
TU
George
Biju
B
D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004374:Ductus Arteriosus, Patent / Q000150:complications* / Q000601:surgery*; D004868:Equipment Failure; D005260:Female; D006461:Hemolysis; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D012720:Severity of Illness Index