Aortic arch embolization of an Amplatzer occluder after an atrial septal defect closure: hybrid operative approach without circulatory arrest.
Percutaneous closure of the secundum type atrial septal defects is becoming increasingly popular. We report the case of a 49-year-old man who presented for an unusual embolization of an Amplatzer occluder (AO) 6 weeks after a percutaneous closure of his secundum type atrial septal defect. Emergency cardiac surgery was performed and the device was safely removed by a combined surgical and endovascular approach with no need of circulatory arrest or of profound hypothermia.
Costache
Victor
V
Department of Cardiac Surgery, Grenoble University Hospital, BP 217 Grenoble cedex 9, France.
Chavanon
Olivier
O
Thony
Frédéric
F
Blin
Dominique
D
D001013:Aorta, Thoracic / Q000601:surgery*; D021721:Balloon Occlusion / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000379:methods; D020878:Device Removal / Q000379:methods; D004617:Embolism / Q000209:etiology / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019919:Prosthesis Implantation / Q000379:methods; D016896:Treatment Outcome