title: Completely endoscopic removal of a dislocated Amplatzer atrial septal defect closure device.
abstract: Surgical treatment of residual shunts after transcatheter occlusion of atrial septal defect or patent foramen ovale is reported in approximately one to two percent of these percutaneous interventions. Minimally invasive surgery on the atrial septum is getting more and more common but little data is available on Amplatzer device explantation through limited access. No completely endoscopic device removal has been described previously. We report a case of a 57-year-old woman in whom an Amplatzer device was removed in a robotic totally endoscopic fashion through ports only using the daVinci telemanipulation system.
authors.affiliation: Department of Cardiac Surgery, Innsbruck Medical University, A-6020 Innsbruck, Austria. johannes.o.bonatti@i-med.ac.at
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Bonaros
authors.forename: Silvana
authors.initials: S
authors.lastname: Müller
authors.forename: Thomas
authors.initials: T
authors.lastname: Bartel
mesh_terms: D054087:Atrial Septum / Q000293:injuries*; D020878:Device Removal / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019736:Prostheses and Implants; D011475:Prosthesis Failure; D012371:Robotics